All forms used by our office are available for download in PDF format. Open the forms in Adobe Reader and click the highlighted fields to fill out. You can then print the form and bring with you to the office, fax (913-529-5995) or save and email to our staff.
Adobe Reader software is the global standard for electronic document sharing and is free for both Windows & Apple computers. If you do not have Adobe Reader please click here to download.
Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our office (913-529-5999) and we will gladly email or fax them to you.
By signing this form, you will consent to our use and disclosure of your protected health information to carry outtreatment, payment activities, and healthcare operations.
This form acts as authorization for the release of information necessary to process your insurance claim.
This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Instructions for patients being sedated.
Your overall result will be directly influenced by how well you follow all these instructions.