Clinic Patient Registration Form
Welcome to Olathe Medical Services. We are pleased that you have chosen one of our clinics to provide care for you and your family. Your office visit is meant to be a pleasant experience, and we ask for your assistance in establishing a good medical relationship.
Proper patient registration is important. If this will be your first visit to our clinic, please fill out the Clinic Patient Registration Form below. It will take approximately 10 minutes to complete. You will not be able to stop and save your information, due to patient privacy practices, so make sure you allow adequate time to complete the form. If you have questions, please contact your clinic, or call 913-782-2974.
When you arrive at the clinic for your visit, you will check in at the front desk. Please have your current insurance card and photo ID available at check-in. Any applicable co-pay is also required at the time of check-in (as in accordance with insurance guidelines).