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