Patient information

We want you to be informed as possible about the procedure you are going to receive. We in turn need to know just as much about you so we can make your visit comfortable and quick as possible. Please read the information in the links below.

Patient forms

Prior to your visit to our facility, please download and fill out the forms below. You may then either fax them to our office (our fax numer is (913) 338-5352) or bring them with you and give them to the receptionist during check-in.

Patient forms

Our film policy

The form in the .pdf document below outlines our guidlines concerning exam films. Please download this file and sign it to acknowledge your understanding.

Film policy

Insurance information

We do accept many other managed care groups. If you do not see your group on this list please call our billing office at (913) 338-3344 to verify participation.

Aetna US HealthCare	Employees Health
Anthem	Family Health Partners
Beech Street Corporation	First Health
BCBSKC - Blue Advantage	Focus
BCBSKC - Blue Advantage 65	Great West Life / One Health Plan
BCBSKC - Blue Care	Humana Heath Care Plans
BCBSKC - Preferred Care	Med Focus
BCBSKC - Preferred Care Blue	Medicare
BCBSKC - Freedom Network	MedSolutions
BCBSKC - Freedom Network Preferred	Mid America Health
BCBSKC - Total Health Care	Missouri Pacific
BCBSKC - Total Health Care 65	Preferred Health Professionals (PHP)
Blue Shield of Kansas	Premier Work Comp
Capp Care	Private Health Care System
CIGNA HMO/PPO	TriCare / TriWest PPO
Community Health Plan / HMO	United Healthcare