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PATIENT FORMS


Advanced Health Center

Please use the following links to print and fill out our insurance coverage and patient health history forms. The forms are formatted in Adobe Acrobat, in order to view them you will need Adobe Acrobat Reader installed on your computer. If you do not have Adobe Acrobat Reader you can click here to download it FREE.



We Accept the Following Major Insurance Plans: Aetna, American Medical Security, Blue Cross Blue Shield of Kansas City, Cigna Difinity, First Health, FMH, Great West, Humana, Mail Handlers, Medicare, Principal, Student Insurance, United Healthcare.

Plus many others. If you are unsure whether Dr. Kissinger is a provider for your insurance carrier, please feel free to call our office or your insurance carrier at their customer service number.