> New patient forms
Head & Neck Surgery of Kansas City
Instructions for registration
// New patients
Patient registration is a 2 step process. Please download and complete the age appropriate registration forms and also complete each of the Online Health and History Questionnaires.
College and Nall Office
Option 1 – If you opted into our mobile registration feature, by providing us with your cell phone number and/or email address, a custom link from Phreesia will be sent to you via text and/or email with registration instructions.
Option 2 – You may register in office. Please come in 20-30 minutes ahead of your scheduled appointment time.
Bonner Springs and HWY 150 Office
Registration at these site is a 2-step process. Please download and complete the age appropriate registration forms and also complete each of the Online Health and History Questionnaires.
Step 1: Patient Registration Forms
Adult Registration: Adults and children 14 years of age and older
Child Registration: Children 13 years of age and younger
Bring the completed forms to your appointment. Completion of the documents prior to your visit will speed up the registration process.
Step 2: Online Health and History Questionnaires
Please click on each of the links below to use our secure website to complete your Health and History Questionnaires. There are 3 separate questionnaires