CONTACT US

4951 W. 18th St.
Lawrence, KS 66047

MAIN OFFICE
(785) 841-6540

Billing OFFICE
(785) 832-2865 x 250

FAX
(785) 841-3129

Forms and Documentation

Please use the links below to download forms that may be needed for your visit to our offices.

Child History (doc)

Female History (doc)

Male History (doc)

Medical Record Release Authorization (To LFPC) (pdf)

Medical Record Release Authorization (From LFPC) (pdf)

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