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You have 3 different ways you can fill out NEW patient forms prior to your appointment.
 
1. Follow this link to fill out our patient forms electronically.  Follow the link below, click on the forms tab, and fill out each of the forms listed.  Hit submit after you complete the form.  Please fill out and submit at least 24 hours before your scheduled appointment. 

Click here to fill out & submit NEW Patient forms electronically (option#1)

OR
 
2. Download, fill out and fax the forms to our office.  Follow the link below, download and fill out (5 pages long).  Fax to our office at (913) 261-2224.  Please fax at least 24 hours prior to your scheduled appointment.  

click here to download pdf version of NEW Patient Forms (option #2)

 OR
 
3. Download, fill out and bring the forms with you to your appointment.  Follow the link below, download and fill out (5 pages long).  

click here to download pdf version of NEW Patient Forms (option #3)

 
 
 
OTHER FORMS 
These forms are not a part of the required NEW patient forms. 

click here to download medical records release form