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Waldo Rehabilitation, Health and Wellness

7337 Broadway Kansas City, MO 64114
Phone: (816) 523-4600
FAX: (816) 523-4724


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Below are downloadable questionaires . If you are planning to make an appointment, you can fill in this information and bring it to the office with you to reduce your first visit. This will help reduce the amount of time you have to spend in our office on your first visit. Click on the links below to download.

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Patient Health Record Form (104k PDF file)

History of Present Illness Form (164k PDF file)

Worker's Comp Form (72k PDF file)

Auto Accident Form (104k PDF file)

 
 

WALDO REHABILITATION, HEALTH & WELLNESS

Clinic Hours: Monday-Friday. 8:00 am - 6:30 pm
7337 Broadway Kansas City, MO 64114
Phone: (816) 523-4600 • FAX: (816) 523-4724
www.drkellymiller.com