Forgot to tell the Doctor something important? Forgot about a surgery you've had or a medication that you are on?

Use the forms below to prepare for your office visit.

Please click the Patient Information Forms link, fill out and FAX or mail your completed forms to our office prior to your visit. FAX to (316) 945-9131. This will allow us to record your information in the computer prior to your visit.

If it is not possible to mail them prior to your visit, please fill them out and FAX them to the office prior to your visit or bring them with you to your appointment.*

• Patient Information Forms
  

Please take a moment to read the following information regarding our Privacy Policy and Credit Policy.*

• Practice Credit Policy and Privacy Information Policy

*If you are having trouble printing these documents, you may need to download or update your Adobe Reader program. Click here to download or update the program. If you are still unable to print the forms, please contact our office and we will mail forms to you.

For Appointments:  

• 316-945-7309
• 800-945-7308

Initial Appointment / Consultation

Please bring any special insurance forms to your Consultation. If your insurance company requires a referral, you must bring it to your appointment unless your primary care physician has forwarded the referral.

If you have received patient forms in the mail, or if you choose to print these forms off the web site, please complete and mail them to our office prior to your appointment. If you have seen one of our physicians longer than a year ago, please come early or print the online forms to up-date your patient information.

It is important that you bring the following to each appointment:

• A current Driver's License or Photo ID,
• All current Insurance Cards,
• Co-payment (Refer to your insurance card, they list the copayment amounts),
• Referral form (if applicable), and
• Recent X-ray, Ultrasound, or Mammograms done (if applicable).