If you’re a new patient, please complete the following forms. You may print them and then complete; you may fax to (316-768-4145) or email to victoria@kansascompasscounseling.com.

For your convenience, you may open them in Adobe Acrobat and complete the information on your computer.

• Patient Information Form
• Checklist of Concerns
• QIDS

Information and Agreement Form:
Please click the form which applies to you

• INFORMATION & AGREEMENT FOR MINORS
• INFORMATION & AGREEMENT
• INFORMATION & AGREEMENT WITH INSURANCE Adults (18+ years)
• INFORMATION & AGREEMENT WITHOUT INSURANCE

For Your Information and Review: 

NOTICE OF PRIVACY PRACTICES