(316) 838-8388
  • Make A Payment
  • Directions
Request An Appointment

Surgery Center of KansasSurgery Center of Kansas

  • For Patients
    • Specialties
    • Keeping You Safe
    • How To Prepare For Surgery
    • Patient Forms
    • Insurance and Billing
    • CareCredit
    • Request An Appointment
  • Find a Physician
  • Conditions
  • For Physicians
  • About Us

Patient Forms

At Surgery Center of Kansas, your time is as valuable to us as it is to you. That’s why we provide online access to a variety of forms that patients may complete before their visit. The following documents will help us expedite the check-in process for your appointment. Please take a moment to download and print the appropriate form(s).

Patient’s Rights and Notification of Physician Ownership

Download
Keeping You Safe How To Prepare For Surgery Patient Forms Insurance and Billing CareCredit Request An Appointment
  • Contact Us
  • Notice of Nondiscrimination
  • Notice of Privacy Practices
  • Terms of Service
  • Internet Privacy Policy
  • Billing Disclosure

Surgery Center of Kansas
7550 West Village Circle, Suite 2,
Wichita, KS 67205-9364

© 2023 Surgery Center of Kansas