Patient Information Forms
For your convenience, we offer the option of completing your Patient Forms electronically – right from your browser.
Click Here to use our Online Electronic Forms
Otherwise, you can download and print the same forms using the links below.
Please print and complete all forms and bring them with you when you come in for your appointment.
We are contracting providers for: Medicare, Blue Cross/Blue Shield of Kansas, Aetna, Preferred Health Systems, & Vision Care Direct. We are happy to assist you in completing “out of network” forms for plans such as VSP, Superior and EyeMed.
We accept CareCredit which is a flexible patient payment program, specifically designed for health care expenses.
Visit the CareCredit Website for more information.