For your convenience, we invite you to download and complete your new patient paperwork prior to your appointment. Following completion, please feel free to either email, fax or bring your information with you to your first visit.
Please reach out to our front desk team with questions at:
Phone: (785) 841-1188
Fax: (785) 841-1469
Email: info@lawrenceperio.com
Medical History Form –
Patient Information Form –
Consent Forms
Financial Agreement
No Referral Necessary!