KC CARE Forms

Are you a new patient or an existing patient?

New patients can fill out our New Patient Registration and Appointment Request Form.

Existing patients can fill out our Existing Patient Appointment Request Form.

You can complete the Sliding Fee Scale Application online.

To submit required documents only, fill out our Patient Information Document Upload Form.

Did you know you can fill out all of KC CARE’s registration forms online? See the forms below.

Patient Consent and Agreement for Health Services

Health Information Release Form