For your convience we have our patient forms available for download. Filling out the forms before coming to your first appointment can save you and our staff time.
The forms are in two different formats. You can download the form in MS Word format and fill it out on your computer if you have MS Word or you can download the form in PDF format, print it out and fill it in by hand.
Links:Health History Form ~ PDF Health History Form ~ MS Word
Patient Information Form ~ PDF Patient Information Form ~ MS Word
PDF format requires the free program Acrobat Reader. Click here if you need the Acrobat Reader program.
Location: 909 E. Wayne Salina, KS 67401 785-825-5473 1- 800-438-5437