If you are a first-time patient please arrive at the office at least 20 minutes before your scheduled appointment time to complete registration information. Please see forms listed below.
Please use the link below to pre-register as a new patient, please allow 24 hours for processing. Please call our business office at 316-722-6260 to verify you are set up as a patient before making an appointment.
New Patient Forms
Please review and complete the following forms for your new patient visit. The receptionist will take these forms when you check in.
Patient Portal Sign Up Form
Patient Information Form-Please complete
WWFP Financial Policy-Please sign
Notice of Privacy Practices-Please Read
Acknowledgment of Receipt of Notice of Privacy-Please sign
Patient Communication Authorization Form
Medical Records Release Please complete this form if you have records you would like to transfer to our facility from your previous physician.