Kell West Regional Hospital

5420 Kell Blvd.

Wichita Falls, TX 76310

940-692-5888

 

© 2015 Kell West Regional Hospital

Information for my Visit

 

  • Any medical records, reports, labs, test results, etc. from another facility or from your local physician

  • All pill bottles of medicines you take including over-the-counter medicines, vitamins, food supplements and/or herbal remedies.

  • A list of questions you may have for your provider

  • A list of medical problems you have, so you will be able to tell your provider

  • Your blood pressure or blood sugar readings, if you have them. 

  • Insurance card

  • Drivers License

  • Health History Form (click on pdf link below, print form and complete)

 

 

 

 

  • If needed, Living Will or Advanced Directive (click on pdf link for Advanced Directive form and Advanced Directive cut-out card)