Please download, print and fill out these forms, and bring them with you to your first appointment.
Click on the icon below to download an Acrobat Reader® file for each form. If you don’t have Acrobat Reader® on your computer, click here for a free download.
Patient Information Form
Patient History Sheet -for patients
greater than 16 years of age.
Child History Sheet - for children
16 years of age and younger.
Olathe Medical Center – Doctors Building One • 20375 W. 151st Street, Suite 106 • Olathe, Kansas 66061 • 913 764-3857
