AMP Kentucky, specializes in Sleep, Respiratory, Speech, Mobility, and other healthcare products. Our goal is to assist customers in having the highest quality of life possible!

AAC Referral Form

Click below to download a PDF version of our AAC referral form

Please return via FAX (931) 540-8209 or EMAIL referral@ampkentucky.com

AAC Referral Form

AAC Medical Consent

Click below to download a PDF version of our AAC Medical Consent

Please return via FAX (931) 540-8209 or EMAIL referral@ampkentucky.com

AAC Medical Consent

AAC Evaluation Template

Click below to download a PDF version of our AAC Evaluation Template

Please return via FAX (931) 540-8209 or EMAIL referral@ampkentucky.com

AAC Evaluation Template

AAC Referral Form

Click below to download a PDF version of our AAC referral form

AAC Medical Consent

Click below to download a PDF version of our AAC Medical Consent

AAC Evaluation Template

Click below to download a PDF version of our AAC Evaluation Template

Visit Us

Campbellsville

Lexington

Louisville