New Patient
Application

Thank you for considering American Family Medical for your health care needs. Below is a link to our “New Patient Application” for your convenience. After you complete the paperwork, please return it to our office for the physician to review. Our office will call you within a few days to schedule your appointment.

Your new patient physical must be confirmed in advance, as we allow extended time to meet with you and gather your history. Our office staff will be calling to confirm your appointment 2 days in advance, if we are unable to reach you, we ask that you return the call to let us know you will be keeping the appointment as originally scheduled.

We would like to make your visit to our office as efficient as possible. In order to do so, we require a 24 hours notice should you need to cancel your appointment. There is a charge for “no show” appointments. We have reserved a specific time for you, please be courteous and advise us as quickly as possible so we may see a patient who urgently needs an appointment.

We are looking forward to meeting you.

New Patient    New Pediatric Patients