Map

20375 West 151st Street
Suite 451
Olathe, KS 66061
Phone: 913-829-0446
Fax: 913-829-7829

Monday – Friday:
8 a.m. to 4:30 p.m.

New Patient Forms

Save time by filling out new patient forms before your first visit. Download and complete the forms below. Bring all forms to the clinic three business days prior to your appointment.

 

Patient Information Form

Patient Personal History Form

Sleep Disorders Questionnaire

Epworth Sleepiness Scale

Clinic Financial Policy

Notice of Privacy Practices

Receipt of Privacy Practices

Medication and Oxygen Flow Sheet

 

 

 

Helpful Resources

Click here to view a list of online resources and support about pulmonology-related topics.

 

Consultants In Pulmonary Medicine

Consultants In Pulmonary Medicine

Consultants in Pulmonary Medicine is committed to providing high quality, patient centered, pulmonary care in an environment that creates a positive experience for both patients and staff. We treat each patient as a partner in the treatment of his or her own condition, and emphasize the importance of patient education in a patient's care plan.

Please remember to bring the following items with you to each appointment:

  • Your insurance card
  • Physician referral forms if required by insurance
  • A list of current prescriptions and/or over-the-counter medications you are taking, including dose and frequency
  • Pertinent information about your medical and surgical history
  • Any recent X-rays or appropriate records you may have
  • Completed sleep questionnaire (for those patients having a sleep disorder evaluation)