Paperwork Required to meet with Elaine Ptacek

Paperwork Required to meet with Amanda Lanning

  • Minor Patients with private insurance- CLICK HERE TO DOWNLOAD PACKET
  • Minor Patients with Medicaid/KanCare- CLICK HERE TO DOWNLOAD PACKET
  • Adult Patients with private insurance- CLICK HERE TO DOWNLOAD PACKET
  • Adult Patients with Medicaid/KanCare- CLICK HERE TO DOWNLOAD PACKET
  • Bring your insurance card and the completed paperwork to your first appointment.