Surgery Center
469-429-7557
Holistic Therapy
816-305-0943
New Patient Forms

In order to expedite your appointment, we ask our new patients to fill out a few forms before your consultation and/or treatment. You can save time by printing and completing the forms at home, and bringing them with you for your visit. We offer the forms in a convenient PDF format:

New Patient Forms

What Do Our Patients Say?

“I was shown the utmost respect by every single person starting with Angela who guided the paperwork and credit card process over the phone to the receptionist, nurses, on-call nurses, and of course Dr. Raphael. This was the first time I have ever had surgery and I am beyond happy with the total experience.”

Dr.Transman

“This staff and surgeon were top notch. They treated me in such a friendly manner and really took the time to access my individual needs. I left there feeling like I was a part of their family and can not see myself going anywhere else for this procedure.”

Dr.Transman