VISIT > registration

Register Your AMPATH Visit

 
 
 
 

Individuals planning to engage in AMPATH care, education, and/or research programs in Kenya, as well as visitors planning to stay at IU House, are required to complete 2-3 forms that will be used by our team to support you during their visit: a Visit Pre-Approval form, a Visit Details form, and an application for a temporary clinical license, if applicable.

At least 10 weeks prior to travel, all visitors must complete an AMPATH Kenya Visit Pre-Approval Form.

In this form, visitors will provide contact information, proposed travel dates, and details on the purpose and activities of their visit.

If pre-approval is required, the AMPATH team will work to notify you as to whether your visit has been approved within two weeks of form submission.

If pre-approval is not required, you may proceed to any remaining forms, which will include the Visit Details Form and may include a temporary clinical license application.

Please note that any other required approvals for your travel (from your home institution, MUSOM or MTRH contacts, etc.) should be obtained prior to completing this form.

Once approval has been issued, all visitors will be prompted to begin the Visit Details Form.

Completion of the Visit Details Form is required to:

  • Request a room at IU House, if applicable;

  • Register any accompanying travelers;

  • Provide travel details and emergency contact information.

You’ll need the following to complete this form*:

  • Scanned copy of passport information page(s);

  • Emergency contact information;

  • Travel medical insurance information and insurance card copy.

We advise all visitors to submit this form at least six weeks in advance as lodging at IU House is limited.

*If you do not have the documents listed above, please complete as much of the available information as possible and return to complete and submit the form as soon as that information is available.

At least two weeks before travel, please make sure to return to your form using your return code to upload the following documents:

  • Your complete travel itinerary including travel within Kenya;

  • Electronic Travel Authorization from the Government of Kenya (replaces eVisa requirement).

Clinicians who meet certain criteria** will also be prompted to begin an application for a temporary Kenya clinical license.

**At this time, physicians, physician assistants, and nurses who will be participating in any patient-facing activities and/or will require access to any clinical spaces are required to obtain a temporary clinical license.

Clinical license applications should be submitted at least six weeks in advance to ensure that the application is approved by the time of your arrival. Any clinician without an active Kenya license will not be permitted to enter any clinical areas of the hospital campus.

Access the Visit Pre-Approval Form

As we transition to this new process, pre-existing records will remain in the old system. If you have already started a Visitor Information Form under the old system, please click here to continue.

Starting a new request? Click here to go to the Visit Pre-Approval Form.

Questions?

Please contact the AMPATH Visitors Team for questions about the pre-approval process, travel arrangements, room reservations, electronic travel authorization, or clinical licenses.

Questions regarding requirements for visiting research trainees should be directed to the AMPATH Research Program Office.