We want to answer as many of your questions at your visit.
Please arrive 20 minutes before your appointment.
These are the items you should bring to your appointment with Ampla Health.
Please prepare for this by bringing:
- Patient Registration Form
- Confidential Medical History:
- Adult (Ages: 11 years to Adult)
- Children (Ages: Birth to 10 years)
- Medication/Prescription List
- Female Confidential History Form
- Drivers License or State Issued Identification Card
- Primary and Secondary Insurance Cards
- A list of your questions and concerns
- A list of your past medical history and surgeries
- A copy of your XRAYS / CT scans (not just the reports – please bring the actual films)
- Copies of Records from doctors related to your medical history
Patient Forms
Please be advised patient forms will be accessible in Ampla Health’s Patient Portal.