Forms
Preparing for your first visit
Please complete all forms and submit online.
Once all forms and doctor's orders are received, we will
contact you about appointment options.
MANDATORY FORMS FOR PEDIATRIC CLIENTS:
1. Client Information *START HERE*
Release of Information (optional)
MANDATORY FORMS FOR ADULT CLIENTS:
1. Client Information *START HERE*
5. Release of Information (optional)
Methods of Payment
In Network Insurance Plans:
Blue Cross Blue Shield
Tricare
Kansas Medicaid - Aetna Better Health of Kansas, UHC Kancare, Sunflower (with some stipulations due to high rate of denials)
Out of Network Insurance Plans:
United Health Care
Blue Cross Blue Shied - Blue Select
Aetna
Coventry
Cigna
Humana
Missouri Health Net
Missouri Medicaid
Private Pay (contact our office for fee schedule)