Online Forms

At Wichita Optometry, P.A., we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.


Medical Release Form


Office Financial Policies


HIPAA Privacy Policy


EMPLOYMENT OPPORTUNITY

Eye & Medical History - you will be redirected to our Patient Portal "Revolution PHR"


RELEASE OF INFORMATION
INSURANCE AND PAYMENTS
FAX REFERRAL FORM

for username and password email [email protected]


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Hours of Operation

(316) 942-7496

Office Hours

Monday:

7:45 am-5:00 pm

Tuesday:

7:45 am-5:00 pm

Wednesday:

7:45 am-5:00 pm

Thursday:

7:45 am-5:00 pm

Friday:

7:45 am-12:00 pm

Saturday:

Closed

Sunday:

Closed