Forms
Medical & Dental Forms
All of the forms for Konza Prairie CHC can be found below, to give patients the ability to fill them out prior to coming to the clinic.
Registration Packet
Patient Rights & Responsibilities
Notice of Privacy Practices
Sliding Fee Scale Application
Records Release
Copyright © 2015 Konza Prairie Community Health Center
A Federally Qualified and a Federal Tort Claims Act (FTCA) deemed health center