Marble strip One.png

New Patient Paperwork

New patient forms

New patients can save time during their first appointment by completing the patient registration form prior to their visit. Simply print out the patient registration form, fill in the information requested, and bring the completed form with you to your appointment. 

 

NEW PATIENT FORMS

 

If you have any questions regarding your visit, our location phone number and address is listed here

Hair loss consultations can be performed via telehealth from the comfort of your own home, or at one of our offices in the Kansas City metro area.

  • White Facebook Icon
  • Facebook

KMC Hair Center

Shawnee

6333 Long Ave. Suite 360
Shawnee, KS 66216

Tel: 913-631-6330

Fax: 913-631-6222

Leawood

11301 Nall Ave #205

Leawood, KS 66211

Tel: 913-451-5934

Fax: 913-451-4716

© 2021 Kansas Medical Clinic, PA ​ - If you have a medical emergency, please call 911.  All information provided herein is for educational purposes only. If you have a medical condition, please consult a physician to get a proper diagnosis and treatment plan.