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

New Patient? 
Returning Patient? 

Use the green button above to access our secure portal.


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
Picture
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 - 3 pm 
​
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