CONTACT US

4951 W. 18th St.
Lawrence, KS 66047

MAIN OFFICE
(785) 841-6540

Billing OFFICE
(785) 832-2865 x 250

Forms and Documentation

Please use the links below to download forms that may be needed for your visit to our offices.

Communicaton Authorization (pdf)

Insurance Information (pdf)

Patient Information Sheet (pdf)

Child History (doc)

Female History (doc)

Male History (doc)

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