Frequently Asked Questions
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Forms
 
The forms on this page are provided for patient download prior to the first appointment. Once downloaded, each form should be filled out completely and accurately, signed, and brought to the doctor’s office at the designated time. Should you have any questions about these forms, please do not hesitate to contact the office at 816-889-9800.

Patients involved in Auto Accidents or dealing with Medicare must contact the office for additional pertinent information and forms.
 

ACC Informed Consent (pdf)

ACC Personal History (pdf)

ACC Personal Medical Information Consent Form (pdf)

ACC Symptom Survey (pdf)

ACC Treatment Policy of Services (pdf)

 
 

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