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(913) 385-PAKC

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Monday - Friday
8:00am to 5:30pm

Email

contactus@pakconline.com

New Patient Packet
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Patient Registration form

 

Request for Restriction form

 

Involvement in Care form

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Involvement in Care form
 
Pharmacy Consent
 
Release of Information form
 
Dr Cole’s Pt Questionnaire

Confidential Communication form
 
Involvement in Care form
 
New Patient Authorizations and Financial Policy
 
New Patient Registration form
 
Request for Restriction form

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Psychiatry Associates of Kansas City
8900 State Line Road Suite 380
Leawood, KS 66206
913-385-7252 (PAKC)
FAX: 913-385-2412
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