Make an Appointment with Wichita Dentist

Wichita Comprehensive Fanily Dentistry

Patient Forms

Please download and fill out the forms for your first appointment.

New Patient Form (Adults)
New Patient Form (Children)
Notice of Privacy Practice
Financial Agreement
Patient Transfer Form
Treatment without Parent/Guardian Consent Form
Social Security Refusal
Appointments and Cancellations

These documents are in Adobe PDF format. If you're unable to read PDF files, please download free Adobe Acrobat Reader here.

171 South Maize Road,
Wichita, 67209

Get Directions to Dr. Sickles' Office

Office Hours

Mon: 9:00am - 5:30pm
Tues: 9:00am - 5:30pm
Wed: Closed
Thurs: 9:00am - 5:30pm
Fri: 8:00am - 12:00pm
Sat: Closed
Sun: Closed