Patient Forms
Please click on each Patient Form icon to download an Adobe Reader® file of that form. Print the form, fill it out and return it to us at your next appointment.

If you don’t have Adobe Reader on your computer, please click here for a free download.

Welcome to Our Office – First Visit Checklist
Patient Information Form
Health Questionnaire Form
Consent to Use and Disclose Protected Health Information
Office Financial Policy



Neurosurgery Associates of Kansas, Chartered
Shawnee Mission Medical Building  •  9119 W. 74th St., Suite 260  •  Merriam, Kansas 66204
Olathe Medical Center Doctors Building I  •  20375 W. 151st St., Suite 205  •  Olathe, Kansas 66061