> 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

 

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

 

Here, for your care.

Head & Neck Surgery of Kansas City

Tel: (913) 599-4800

Fax: (913) 599-2992

Monday & Friday: 8:30am – 5pm