Medical & Dental Forms

These forms are provided in a PDF format, and must be printed off in order to fill them out.
This is the first step in becoming a part
of our family
These are your rights as a patient
For those concerned affordable healthcare,
we offer a sliding fee scale for those who qualify.
This form is to help us serve you better
This form is used to request your records
from your previous health provider (we will send it off for you)
A helpful guide to see if we have forgot
anything
Sports/School and Kan-Be-Healthy Physicals