New Patient Forms

If you are a new patient, begin by downloading and filling out the New Patient Form below.

New Patient Form

Then, fill out the appropriate intake form below if required, and return all forms to the Therapy Center. If you have any questions, please call us at (316) 636-1188.

Amy Jacobs Intake (Child)
Dr. Kerr Intake (Adult)
Dr. Kerr Intake (Child)
Dr. McKay Intake (Adult)
Dr. McKay Intake (Boy)
Dr. McKay Intake (Girl)
Dr. Vincent Patient Agreement Form
Dr. Eskridge Consent Form

Other Forms

Consent for Release of Confidential Information
Notice of Privacy Policy
Fees, Services and Insurance
.