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Below are PDF forms you can print and fill out to bring to your appointment or fax to us prior to your appointment.

We are in the process of implementing a new online registration system to make it easier for you to provide us your medical information prior to your appointment. Until then, use the forms below, or fill them out the day of your appointment. Please arrive 10-15 minutes early for your appointment if you chose to fill out the required medical forms in our office.

Note: I currently see patients at: 11237 Nall Ave. Ste 130 Leawood, KS 66211. 

New Patient Packet (click)

Follow-Up Visit Form (click)

Making an Appointment

Call our office 913-438-9898 during business hours to request an appointment.

OFFICE HOURS (subject to change)

Our office hours have been reduced and are variable. Please call our office to schedule your appointment.

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