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Required Forms

All Wichita patients are required to fill out the standard medical documentation (including patient information, medical history, privacy policy, etc.) while waiting for their first appointment. Due to state law, some services require additional documentation. Most significant among these forms are the 24-hour consent and the Dual Parental Consent for Unemancipated Minors. The parental consent form must be notarized. These forms are only required for patients requiring abortion care.

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All patients seeking abortion care must receive the 24-hour consent form 24 hours prior to their appointment for such care. This can be done using our online form.

If a minor is unable to obtain parental consent, a Judicial Waiver must be obtained. Please call our office at 316-260-6934 for further information. These forms are available for print but cannot be completed online.

Information on records release from Women’s Health Care Services (for patients seen prior to May 30, 2009), please call Thompson Law Firm at (316) 267-3933 or write to Thompson Law Firm, LLC 106 E. Second St., Wichita, KS., 67202.