Forms and Documents

Patient Intake Forms

pdf Patient Information (73 KB)
pdf Informed Consent (782 KB)
pdf Acknowledgement of Receipt of HIPAA Privacy Notice (30 KB)

Patient Education Documents

pdf Anti-Inflammatory Diet (45 KB)
pdf Low Back Stabilization Exercises (84 KB)

Miscellaneous Forms

pdf KSHSAA Sports Physical Form (113 KB)

pdf HIPAA Privacy Notice (61 KB)
 
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Dr. Aaron DeGraffenreid D.C.

  Level II Certified
ABC Practitioner

 

Wellness Zone Patient Portal

Portal Instructions

9095 W. Central
Wichita, KS 67212
316.721.4546

Office Hours:
MWF 9am-6pm
Tues 2pm-8pm
Sat 9am-12pm

Closed Thursday and Sunday    

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