Download the DFP Medical Forms: Patient Registration (Word Format) Patient Medical History (Word Format) Patient Registration (PDF Format) Patient Medical History (PDF Format)

or your convenience, we have enclosed our patient information and history forms which you should complete prior to your appointment. To expedite your check-in, you may email the completed forms back to our office, or bring them with you at the time of your office visit, as well as your insurance card(s). If your insurance plan requires a co-payment and/or a referral form from your primary care physician, this should be presented at the time of your visit.

It is very important for our doctors to have copies of all recent tests and diagnostic studies pertaining to your problem at the time of your visit. Please contact your primary care physician/referring doctor to obtain copies of these records. If you have had any x-rays or MRIs, please bring in the actual films as well as the report(s). These may be obtained from the radiology department in which the x-ray or MRI was performed. PLEASE DO NOT MAIL XRAYS OR MRIs.

If you arrive without the requested medical history documents and/or films, you may be asked to reschedule your appointment at a future date. If you are on any medications, please bring a list of your medications and dosage.

Call our office with any questions, at (816) 561-3003.

Thank you for choosing our physicians.