Patient Care
Welcome to Kansas Pediatric Neurology Center!
Before You Visit
For new patients, you may print and complete our new Patient Registration Forms and bring them to your appointment. This will expedite registration at the time of your visit. Established patients are required to renew these forms every two years. Additional forms may be required and will be provided at your appointment.
- If your plan needs a referral please make sure to obtain one from your primary care provider before your appointment.
- Please bring copies of any relevant medical records, laboratory reports, EEG reports, MRI and CT scans for the doctor to review.
At The Time Of Your Visit
Things to bring with you to each visit:
- Current insurance card(s)
- Photo identification
- Bring relevant records, scans, and your referral (if applicable)
- Your preferred method of payment for any cost shares due at the time of service
Please ask our staff to help you enroll in our web-based Patient Portal. Patients can use the Patient Portal to view, download, and transmit their health information, request prescription refills, send secure messages to their providers, and pay their bills.
If you need to cancel your visit, we require one business day’s notice.
We look forward to seeing you!
Patient Forms
Patient Financial Policy
This policy helps us in our mission to provide you with exceptional medical care in the most cost-effective manner.
Click here to view and download.
Patient History Form
Click here to view and download.
Procedure / Minor Surgery Consent
Click here to view and download.
Patient Registration Form
Click here to view and download.
Resources
Patient Portal
The web-based Patient Portal gives patients secure and convenient access to their health information.
Patients can use the Patient Portal to view, download, and transmit their health information, and send secure messages to their provider.
Click here to access.
BOTOX® Treatment Program
Our goal is to make sure you fully understand how this treatment may benefit your medical condition, and to help you understand how you can play an active role in your treatment decisions and ongoing care.
Click here to view and download.
EEG Instructions
Electroencephalogram, or EEG, is a neurological test that uses an electric monitoring device to measure and record electrical activity of the brain.
Click here to view and download.
Patient Education Information
From the American Academy of Neurology,
BrainandLife.org is a destination for you and your loved ones to get the latest news and resources on specific neurologic disorders and brain health.
Click here to access.
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Contact us
Call us today at (316) 796-5610 or fill out the form below and we'll call you!
Locations
Main Office
10111 E 21st St. N, Suite 405
Wichita KS, 67206
Outreach Clinic
The Hutchinson Clinic
2101 N Waldron
Hutchinson KS, 67502
Phone Number
P: (316) 796 5610
F: (855) 818 5927
Working Hours
Mon - Thu 8:00 am - 4:00 pm
Fri - 8:00- 12:00 pm