Intake Forms

We want this process to be smooth and we are here to help you in any way possible.  If you have questions, please feel free to call the office with any questions you may have when completing your new patient paper work.  Please bring your photo ID, completed paper work and insurance card(s) with you to your appointment.  If you have questions regarding your insurance benefits, please call me at 316-759-9136 and I will be glad to help.  All co-pays, co insurance and deductibles are due at time of service.  We will confirm your appointment whenever possible however, if you are unable to attend your scheduled appointment, please kindly give us a 24 hour notice.

300 W. Douglas, Suite 205

Wichita, Kansas 67202

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