Patient Information and Forms

Please download, print and fill out your New Patient History Packet and Patient Information forms and bring this with you on your first visit. If any of your personal or insurance information changes at any future date, please fill out a new Patient Information form and bring with you on your next visit.

Please download, print and read the Notice of Privacy Practices form, and print and fill out the Notice of Privacy Practices Acknowledgement form and bring with you to your first appointment.

Please download, print, and fill out the other forms where applicable and bring with you to your next appointment.

Please bring MRI films or DVDs with you if we have not received them prior to your first visit. Please do not bring printouts of your films, as we are unable to make reasonable diagnosis without actual films in digital or film format.

Insurance Accepted

We accept most major insurance. If you do not see your insurance listed below, please contact our offices to determine if we honor your carrier.

Beech Street
Blue Cross Blue Shield PPO and HMO
Private Healthcare Systems
Workers Compensation (by review)
Medicaid (by review)

Hours of Operation

We are open from 9 a.m. to 5 p.m. Monday through Friday.
Our phones are answered 24 hours a day and there is always a physician on call.
The Contact Us form on the right side of this page should only be used for general information, not medical questions.
Prescription refills are taken care of only during office hours. Please call your pharmacy to ask for a refill, and the pharmacy will contact us.
New patients generally are seen on referral by their primary care physician or another specialist.
If you have a medical issue and need emergency attention, please call 911.

Our Location

Our office is located at 6420 Prospect, Suite T411, Kansas City MO, 64132.
Phone: (816) 363-2500, Fax: (816) 363-8741.

Please use the Google Map below to find our office. Please click on the link below to get directions to our office.

View Larger Map

Skip to toolbar