Patient Forms

Below we have a list of our forms that you can download for your convenience.


Pediatric New Patient Paperwork:

New PEDIATRIC Patient Paperwork
Patient Rights and Responsibilities

Adult New Patient Paperwork:
New Patient Paperwork
Patient Rights and Responsibilities

Wellness Center @ Shawnee Consent Forms:
 The Wellness Center @ Shawnee Consent Form 2016-17
Shawnee- Patient Rights Form

Wellness Center @ J.B. Atkinson Academy for Excellence:
The Wellness Center @ Atkinson Consent Form 2016-17
Atkinson Patient Rights Form

Wellness Center @ Maupin Elementary:
The Wellness Center @ Atkinson Consent Form 2016-17
Maupin- Patient Rights Form

These forms are for new patients. You can download and fill them out and either bring them in on your next visit or fax them in to 502-776-1133.