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Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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 TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB
MIC-Info: RSA-MD5,RSA,
 Q4KBADnMHwIrHhye6DKgpuqXp+kb9Y3HI9IC3uvQPsKj3bAtneGNMSYLs9yMXmVW
 JApLmc81VMSJbM7XEMpU7w==

<SEC-DOCUMENT>0001179110-10-008056.txt : 20100506
<SEC-HEADER>0001179110-10-008056.hdr.sgml : 20100506
<ACCEPTANCE-DATETIME>20100506182003
ACCESSION NUMBER:		0001179110-10-008056
CONFORMED SUBMISSION TYPE:	4/A
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20100504
FILED AS OF DATE:		20100506
DATE AS OF CHANGE:		20100506

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			GUENTHNER C STEVEN
		CENTRAL INDEX KEY:			0001263625

	FILING VALUES:
		FORM TYPE:		4/A
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-09848
		FILM NUMBER:		10809562

	MAIL ADDRESS:	
		STREET 1:		9510 ORMSBY STATION ROAD
		STREET 2:		SUITE 300
		CITY:			LOUISVILLE
		STATE:			KY
		ZIP:			40223

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			ALMOST FAMILY INC
		CENTRAL INDEX KEY:			0000799231
		STANDARD INDUSTRIAL CLASSIFICATION:	SERVICES-SOCIAL SERVICES [8300]
		IRS NUMBER:				061153720
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	BUSINESS ADDRESS:	
		STREET 1:		9510 ORMSBY STATION ROAD
		STREET 2:		STE 300
		CITY:			LOUISVILLE
		STATE:			KY
		ZIP:			40223
		BUSINESS PHONE:		5028911000

	MAIL ADDRESS:	
		STREET 1:		9510 ORMSBY STATION ROAD
		STREET 2:		SUITE 300
		CITY:			LOUISVILLE
		STATE:			KY
		ZIP:			40223

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	CARETENDERS HEALTH CORP
		DATE OF NAME CHANGE:	19920703

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	SENIOR SERVICE CORP
		DATE OF NAME CHANGE:	19920123
</SEC-HEADER>
<DOCUMENT>
<TYPE>4/A
<SEQUENCE>1
<FILENAME>edgar.xml
<DESCRIPTION>FORM 4/A -
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0303</schemaVersion>

    <documentType>4/A</documentType>

    <periodOfReport>2010-05-04</periodOfReport>

    <dateOfOriginalSubmission>2010-05-06</dateOfOriginalSubmission>

    <notSubjectToSection16>0</notSubjectToSection16>

    <issuer>
        <issuerCik>0000799231</issuerCik>
        <issuerName>ALMOST FAMILY INC</issuerName>
        <issuerTradingSymbol>AFAM</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001263625</rptOwnerCik>
            <rptOwnerName>GUENTHNER C STEVEN</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>9510 ORMSBY STATION ROAD</rptOwnerStreet1>
            <rptOwnerStreet2>SUITE 300</rptOwnerStreet2>
            <rptOwnerCity>LOUISVILLE</rptOwnerCity>
            <rptOwnerState>KY</rptOwnerState>
            <rptOwnerZipCode>40223</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>1</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle>Sr. Vice President - CFO</officerTitle>
            <otherText></otherText>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2010-05-04</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>F</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>15688</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>40.97</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>170482</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
    </nonDerivativeTable>

    <derivativeTable></derivativeTable>

    <footnotes>
        <footnote id="F1">The Form 4 previously filed on this date is amended to disclose shares withheld for payment of the withholding obligations.   Amount reflects payment of exercise price and tax withholding, respectively, by delivering and withholding securities incident to the exercise of an employee stock option in accordance with Rule 16b-3.</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>/s/ C. Steven Guenthner</signatureName>
        <signatureDate>2010-05-06</signatureDate>
    </ownerSignature>
</ownershipDocument>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
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