We Have Several Convenient Ways For You To Schedule An Appointment

Online Request for Appointment Time or Consultation

Please Tell Us The Reason For Your Visit
And The Date and Time You Would Like To Come In
Then Click The Submit Button

Erin Will Confirm Your Appointment By Phone Or Email

Your First Name
Your Last Name
Telephone Number
Email Address
Please explain your problem and when you would like to come in to the office:

By Telephone or Fax

Erin On Phone

Telephone: 316-683-0440
Fax: 316-689-0300
Our Hours are:
Monday-Friday 7:30 a.m.-4:30 p.m.
Lunch,12 noon-1 p.m.

Or Drop By The Office

Erin On Phone
Our Address is:

7207 E. 21 N.
Wichita, KS
67206

Our Hours are:

Monday-Friday
7:30 a.m.-4:30 p.m.
Lunch,12 noon-1 p.m.

MapToBusiness

Download Patient Health History Forms To Fill Out At Home

If you would like, you can fill these forms out at home and bring them with you to the appointment.
These forms are in PDF and Word Formats.

("right click" on them and you will be able to download a file and print it out)

ADULT MEDICAL HISTORY.pdf
ADULT MEDICAL HISTORY.doc
CHILD MEDICAL HISTORY.pdf
CHILD MEDICAL HISTORY.doc

Also, available is a copy of our Privacy Policy that you can download.

Notice of Privacy Practices.doc