Admission to Prairie View
Whenever you are ready to take the next step, Prairie View is here.
Payment Options
We believe that cost should never prohibit someone from seeking treatment. We provide a variety of affordable options for people with and without insurance.
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Privacy Policy
View our privacy policy to learn how medical information is disclosed and how you can get access to your information.
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Admission Forms
Please download and fax the following forms to 316-284-6493 or bring them with you to your appointment.
Authorization to Disclose Health Information
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Authorization to Disclose Health Information (Spanish)
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Consent for Outpatient Treatment
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Consent for Outpatient Treatment (Spanish)
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Email Consent Form
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Email & Text Message Consent (Spanish)
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Financial Agreement & Signature Form
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Financial Agreement & Signature Form (Spanish)
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Non-Discrimination Notice
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Patient Rights and Responsibilities
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Patient Rights and Responsibilities (Spanish)
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Adult Patient Information Form
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Child/Adolescent Patient Information Form
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Notice of Public Rights Under Title VI
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Request for Patient Access to Protected Health Information
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