Patient Forms

Below are patient forms to read and complete prior to your appointment. If you would prefer to complete the information online, please call our office at 816.361.0670 and request a username and password for our Patient Portal.

Patient Information and HIPAA Consent for Release of Medical Information

Office/Appointment Information Sheet

Main Office Hours

Monday – Thursday
8:30AM – 5:00PM
Friday
8:30AM – 4:30PM

816.361.0670 Phone
816.444.6936 Fax

Locations

Troost Location Main Office
6530 Troost Ave., Suite #A
Kansas City, MO 64131

Carondelet Location
650 Carondelet Dr., Suite #A
Kansas City, MO 64114

Warrensburg Location
DCI
609 E. Young St.
Warrensburg, MO 64093

Lee’s Summit Location
DCI
219 NW Executive Way
Lee’s Summit, MO 64063

Access Center Location
2340 Meyer Blvd.
Building 2, Suite 488
Kansas City, MO 64132

Maps & Directions

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Disclaimer

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Review our Coronavirus (COVID-19) statementCLICK HERE

Coronavirus (COVID-19) Statement

Although our doors will remain open amidst the rising concern over COVID-19, in an effort to keep our patients and staff healthy, we are taking precautions to avoid further spread of the virus.

If you have an upcoming visit and identify with the following statements, please call us to reschedule.

• Fever greater than 100.4
• Respiratory symptoms or difficulty breathing
• Exposed to someone with COVID-19 in the past 14 days
• Placed in self/hospital quarantine by medical doctor

To limit any potential exposure, we ask that you do not bring anyone with you to the appointment. We continue to update our protocol to ensure safety for everyone. This includes expanded measures to disinfect our office and compliance with recommendations from the Kansas Department of Health and The Center for Disease Control.