Online Patient Forms
Your request will be processed within 24 hours, during normal business hours. If you do not receive confirmation of your request within 48 hours, please contact our office by phone.
Download Patient Forms
To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.
- Health History
- Complete Patient Packet
- Authorization for Release of Medical Records
- Consent to Disclose Protected Health Information
After Hours & Emergency Care
If you are experiencing an emergency, dial 911 or head to the nearest emergency room. For all other calls, an on-call physician is available 24-hours a day, 7-days a week. To reach the on-call physician, please call 913-384-4990 and follow the prompts. We ask that after hours call be limited to EMERGENCIES ONLY to enable the on-call physician to attend deliveries, c-sections and manage true medical emergencies. We do not have access to routine lab results and are not able to refill prescriptions while on call.
Prescriptions are renewed during normal office hours. In some instances, we may require that the patient be seen in our office prior to medication renewal.
All office visits are payable at the time of service. We accept cash, checks, and most major credit cards and debit cards. Please contact our billing office should you have any financial questions or concerns.