Convenient Forms Online

To help make your initial consultation with us faster and more convenient, we provide our new patient forms online so you can download and fill them out before your visit!

Patient Registration Form

Medical History Form

Financial Policy

Notice of Privacy Practices

Consent for Treatment

Acknowledgment of Receipt of Notice of Privacy Practices

 

Call us if you have questions

We’ve made your initial consultation more convenient by providing our new patient forms online! To learn more, or to schedule an appointment with us, call the office of Dr. Stuart Dexter in Prairie Village, KS, today at 913-362-8200.