phone (785) 393-5171

New Patients

Forms & Resources

We are delighted to have you as a new patient!
Please review, complete and print the following applicable forms and bring them to your first visit.

Assignment of Benefits Form
General New Patient Form
Male Self-History Form
Female Self-History Form

If you have any questions please don’t hesitate to contact us.

Fearless

A Journey in Learning to Let Go

I’m a woman, a wife, a mother, a doctor and now an author! Purchase my book, Fearless, and learn more about my personal and medical journey. Available as downloadable PDF or hardcover.