NEW PATIENT FORMS

Getting started with Implant & Perio Center of Kansas is easy and secure!
Our online form process ensures the safety and security of your sensitive information.
We value our patients and their privacy!

Want to print them and bring them in? Download the links below.

Forms for New Patients

If you are a new patient to our office, please refer to the forms below that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival. Getting started with Implant & Perio Center of Kansas is easy and secure! Our online form process ensures the safety and  security of your sensitive information. We value our patients and their privacy!

Want to print them and bring them in? Download the links below.

Patient Registration

Medical History

QUESTIONS?

If you have questions about dental implants or would like to schedule a consultation, please contact us at our dental practice today!

IMPLANT & PERIO CENTER OF KANSAS

(316) 683-2525

9100 E. 29th St. N. Wichita KS United States 67226