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Insurance Forms

Select and download your insurance form from our supported insurances listed below.

Patient Downloads Illustration AMC

Choose your insurace

Let's make sure that your visits at our health centres go smoothly and you get the service you need without any long or unnecessary waiting times. 

New patients are required to fill out specific forms for new patients at our offices. You can fill out these forms at beforehand and bring them to your first visit. The forms differ based on your health care provider. 

Click on your insurance to open the PDF

Tricare
HTH¹
Foreign Service Benefits Plan
Veterans Affairs
United
British Medical Association
British Medical¹
Blue Cross Blue Shield Federal
Cigna
Geo Blue¹
Aetna
¹This insurance requires a guarantee of payment or an authorization form.
Please request one from your healthcare service provider.

Save time and fill out your insurance form at home

Let's make sure that your visit at our facility goes smoothly and you get the service you need without any long or unnecessary waiting times.

New patients are required to fill out specific forms for new patients at our offices. You can fill out these forms at beforehand and bring them to your first visit. The forms differ based on your health care provider.

Select your insurance provider to download form

¹This insurance requires a guarantee of payment or an authorization form. Please request one from your healthcare service provider.

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.
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American Medical Center 

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Medical Clinic

Konrad-Adenauer-Straße 4, 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
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