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Forms

New Patient Packets

  • Mission Woods New Patient Packet
  • Advisors Excel New Patient Packet
  • Nextera/Archdiocese New Patient Packet

Release of Records Forms

  • Release of Records (Mission Woods Location)
  • Release of Records (Advisors Excel Location)
  • Release of Records (Outgoing)

School Physical Forms

  • Daycare/Preschool Physical
  • Kindergarten Physical
  • Middle/High School Sports Physical

Miscellaneous Forms

  • HIPAA Form
  • ACH Bank Draft Form
  • Medicare Opt-out Form




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Notice of Privacy Policies

Oasis Family Medicine


2850 SW Mission Woods Drive
Suite 103
Topeka, KS 66614

oasis@oasisfamilymedicine.net
785-286-6816
785-286-7668

Monday-Friday

8:30am - 5:00pm

Saturday-Sunday

closed

For your urgent needs we are on call after hours and on weekends. Call us today at 785-286-6816.

Oasis Family Medicine AE

This is exclusively for Advisors Excel Employees
4123 Gage Center Drive
Suite 126
Topeka, KS 66604

oasis@oasisfamilymedicine.net
785-235-7744
785-215-6150

Monday-Friday

8:30am - 5:00pm

Saturday-Sunday

closed

For after hours urgent needs call Hannah at 785-509-7886.