Useful Documents
-
New Patient Registration
KCHC_Registration_Packet -
Release of Information Form
KCHC_Release_Of_Information_Form -
Sliding Fee Discount Program Form
KCHC_Sliding_Fee_Discount_Program -
Sliding Scale Discount Schedule
FPL-Slide-Scale-Discount-Schedule -
Telehealth Consent Form
Telehealth-Consent -
Price Transrency
KCHC-Health-Price_Transparency-Posting-2020-CPT-CODES -
Good Faith Estimate (GFE) Notice
gfe-notice-2022 -
Annual Income & Household Size Notice
annual-income-2022 -
MyChart Refills Information
KCHC-MyChart-Refills-Flyer -
MyChart Payments Information
MyChart-payment-sign