Phone: (316) 858-5800Patient Portal Login

Patient Forms

Before your first appointment, we ask that you:

  • Read the Protected Health Information forms
  • Fill out and submit the online Patient Registration form or download and complete the printable Patient Registration Forms. Please bring the completed Patient Registration Forms with you to your first appointment.

Patient Registration Forms

Online Patient Registration Forms

Downloadable and Printable Forms

Protected Health Information

Adobe Reader logoThese forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.