Welcome to Dr. Voge’s office!

We are looking forward to assisting you

with your medical needs. shutterstock_139412393

Below you will find the new patient forms that will assist us in understanding you and your medical history more.

There are multiple formats for you to download. After downloading the packet (or individual pages), please fill them out and mail back to us at 818 N. Emporia, Ste 301, Wichita, Kansas, 67214. You may also email the completed forms to plasticsurgicalspecialists@wsspa.com. If your appointment is less than a week away, please hand carry the completed paperwork with you.

Please bring your insurance ID card as well as a photo ID. Co-pays are due at the time of the appointment. If you need assistance with a referral please let us know prior to your appointment. If you are needing more information about insurance coverage of your plastic surgery procedure, please visit our Insurance information page.

We are all looking forward to meeting you! Please do not hesitate to contact us if you have any questions.

  PSS New Patient Paperwork Word Document Format

PSS New Patient Paperwork PDF Format

PSS New Patient Paperwork Public_Page_1This is our Patient Demographic page. It gives us your general information, contact preferences and insurance information.

PSS New Patient Paperwork Public_Page_2

 

This is our Patient Heath History page. It lets us know what you are coming to see Dr. Voge for, what medications you are taking, allergies, past surgeries and illness and your family medical history.

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This page lets us know how you are feeling the day you come in to see us. Having problems? This is where you let us know so we help!

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This is our photography/video consent form. We will take pictures, but it is up to you if you would like to share them to educate other patients on the plastic surgery process. Before and After pictures are a great tool to show realistic results. Make sure to look at Dr. Voge’s gallery and request to look at the book at your consultation.

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This is our Privacy Polices and Financial Agreement. You may read more about our Privacy Polices here as well as download a copy.

Staff
Staff
Contact Us
Contact Us
Plastic Surgical Specialists Patient Resources
Patient Resources
Your First Office Visit
Your First Office Visit
Financing Options
Financing Options
Insurance
Insurance
Patient Forms
Patient Forms
Privacy Policy
Privacy Policy
Patient Portal
Patient Portal