Fetzik Dentistry
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Patient Information


Use the secure link below for New Patients forms
and for updating existing records.
Patient Forms

Online Forms for your convenience


​

Click Patient Forms Button above:


There you can:


  • Fill out the complete set of new patient forms
  • Update your Insurance Information
  • Update Contact Information
  • Update Medical History Information





Questions? 

316 440 4432
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Fetzik Dentistry
2548 N Maize Court
Suite 100
Wichita, Kansas 67205
316 440 4432

     Tue - Thu  8 am - 5 pm (closed 12-1 for lunch)
      Friday 7 am - 1 pm
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Content Copyright 2014 Fetzik Dentistry, LLC ©

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  • Home
  • What We Do
  • Patients
  • Meet Our Team
  • Be Informed
  • Contact
  • Testimonials
  • Dr. Fixit the Blog
  • Infants and Children
  • Courses
  • Travel