Patient Registration Form in Fresno, CA

To speed up the check-in process, please click on the Registration Form, complete all the information, and bring the completed form in with you. Please call us for more information or book an appointment online.

Patient Registration Form in Fresno, CA
Patient Registration Form in Fresno, CA

To speed up the check-in process with American Family Care, please click on the Registration Form below, complete all the information, and bring the completed form in with you.

Download the Registration Form.

After you sign in, the front office personnel will request:

  • Insurance Card
  • Photo ID
  • Co-Pay