PRE-REGISTRATION FORMS

We want to make the most of your time with the physician. In order to keep appointments on time, we ask that patients print out the following forms and complete them prior to arriving at your appointment if possible.

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Forms included in the registration packet are:
  • Patient Information
  • Information Disclosure
  • Patient Assessment
  • Records Release

By law, insurance companies must allow Kansas women to see an Ob/Gyn for a yearly exam. If you have questions or concerns about your healthcare, please contact the Salina Women's Clinic.

If you have questions about the Pre-Registration forms and need additional assistance contact our office at (785) 827-7996.

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