Save time and fill out the required  forms at home

In order to serve our patients we are required to have certain information. Below you can find the different patient packets that are necessary before we can offer any services at one of our medical facilities.

Patient Downloads Illustration AMC

Download your Patient Packet

Patient Registration, Well Woman Exam, Well Male Exam, Child Well Exam, Sports Physical Exam, Prescription Refill
New Patient Registration
This form includes the following forms: Patient Information, Clinic Policies, Medical History, HIPAA Privacy, Data Policy, Missed Appointment Policy.
Download PDF
Prescription Refill
Request Online
Sports Physical Exam
Download PDF
Well Woman Exam
Download PDF
Well Male Exam
Download PDF

Any questions?

Don't hesitate to write us an email or give us a call during our opening hours at our Medical or Rehab Center.

Any questions?

Don't hesitate to write us an email or give us a call during our opening hours at our Medical or Rehab Center.

Medical Clinic

Bahnstrasse 104, 66849 Landstuhl
+49 6371 495021

Monday - Thursday: 
08:00 AM – 12:00 PM and
01:00 PM – 05:30 PM

Friday: 08:00 AM – 12:30 PM
Saturday & Sunday: closed

Physical Rehablilitation

Kindsbacher Str. 39D, 66877 Ramstein
+49 6371 9520408

Monday - Thursday: 08:00 AM – 07:00 PM
Friday & Saturday : 08:00 AM – 02:00 PM
Sunday: closed

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Medical Clinic

Bahnstrasse 104, 66849 Landstuhl
06371 49 50 21

Monday - Thursday: 
08:00 AM – 12:00 PM and 
01:00 PM – 05:30 PM 
Friday: 08:00 AM – 12:30 PM
Saturday & Sunday: closed

Physical Rehabilitation

Kindsbacher Str. 39D, 66877 Ramstein
06371 95 20 408

Monday - Thursday: 08:00 AM – 07:00 PM 
Friday & Saturday: 08:00 AM – 02:00 PM
Sunday: closed
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