Mobile Medical - Bringing House Calls Back to Wichita Mobile Medical - Bringing House Calls Back to Wichita

Forms

Due to the acquisition of Mobile Medical by Oklahoma-based Physician Housecalls, new patient sign-up forms are now available on Physician Housecalls’ website. New patients will still be seen by our Mobile Medical staff. By clicking the following link, you will be redirected to complete your registration: https://www.housecallsok.com/newpatients/

New Patient Packet:  https://dl.dropboxusercontent.com/u/40379605/MM%20Consent%20For%20Treatment.pdf

Consent Forms: https://dl.dropboxusercontent.com/u/40379605/MM%20Notice%20of%20Privacy%20Practices.pdf

Controlled Medication Contract:
https://dl.dropboxusercontent.com/u/40379605/MM%20Statement%20of%20Financial%20Policy.pdf

Palliative Care Intake Packet: https://dl.dropboxusercontent.com/u/40379605/MM%20Statement%20of%20Financial%20Policy.pdf