Call or Text

(316) 500-6008

Email

[email protected]

Address

9300 E 29th St N, Suite 204, Wichita, KS 67226

Quick & Convenient

Our online forms can be completed from your computer, tablet, or smartphone. Once you click Submit, your information is sent directly to our office—no printing or scanning required.

🩺 Initial Intake Form

View what treatments we offer and submit any area of interest

📋 Consent Form

Review and electronically submit the required consent forms.

📝 Instructions for Patients

See the instructions for before, during and after the procedure and submit your acknowledgment.

Before Your Appointment

Please remember to bring:

  • A valid photo ID
  • Your insurance card (if applicable)
  • A current list of medications
  • Any previous medical records or lab results that may be relevant
  • Your completed patient forms
Need Assistance?

If you’re unable to complete the forms electronically or need help determining which forms are required, please contact us before your appointment.

Call or Text: (316) 500-6008

Email: [email protected]