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We  look  forward  to  your  visit!

New Patients

Welcome to Northland Family Care! We are pleased that you have chosen us as your medical care partner, and look forward meeting you in our office. To ensure that our initial meeting is as smooth and stress-free as possible, we encourage you to take a moment to review our office policies, and to complete our new patient forms. We also ask that you arrive to your first visit fifteen minutes early and bring your current insurance card and a photo ID.

New Patient Portal

Announcing the new Northland Family Care Patient Portal.  Our Patient Portal gives our patients access to a variety of convenient features, facilitated by a private and secure online portal that exceeds HIPPA security standards.  Northland Family Care constantly strives to improve commumnication with our patients.  We are excited to present this new Patient Portal as another step toward creating efficient and effective communication between you and our office. Our Patient Portal will make it easy and convenient for you to commumicate your health care needs online. Please click on the Patient Portal link to login and register for your online account.  Once you have registered for a secure, online account, you can log in at any time to privately and proactively:

  • Request medication refills
  • Request appointments
  • Send and receive messages regarding non-emergent routine issues
  • Request lab orders
  • Reqest copies of your lab and test results
  • Reqest Referrals
  • Complete and update your medication, health and family history
  • Update your address, phone and demographic information
  • Our staff will send appointment reminders in advance of your appointment

Office Policies

Insurance Copays are Due at Check-In
Many insurance plans require an office visit copay. As part of our contractual agreement with your insurance plan, we are required to collect copays at the time of service. Please arrive for your visit with a valid form of payment. We accept cash, checks, MasterCard, Visa, and Discover Card.


Prescription Refills
Please allow at least 2 business days to process medication refills. For a prescription to be renewed, a review of medical records, labs, or other information may be required before your doctor can provide approval. If your physician is not in the office when your request is made, this may delay your refill. Northland Family Care physicians make every effort to accommodate special or critical situations. We ask that you contact your pharmacy for all refill requests. Your pharmacy will then contact our office for refill authorization. If your medication requires prior authorization from your insurance company, our office will promptly process the paperwork. PLEASE NOTE: Our physicians will not prescribe or refill pain medications, antibiotics or other medications after hours.

Failure to Keep an Appointment
Like most medical offices, we often have to turn away patients due to full physician schedules. Because of this, we do charge for appointments not kept unless they are cancelled at least 24 hours prior to the appointment time.

FMLA and Other Medical Forms

Please be aware that paperwork from your employer or insurance company does require a significant amount of office resources to ensure accuracy and completeness. Our office charges within the guidelines imposed by the State of Missouri to complete these forms. We process these requests quickly upon payment for their completion. Email or call us at 816-781-4740.


Use these links to
complete our New
Patient Forms prior
to your visit.


New Patient Forms





Transfer & Release of Medical  Records

In order to share your medical information with anyone—including another medical practice—we are required by law to have your written permission. We are happy to provide this service to you upon receipt of a completed Information Release.



Advance Healthcare Directive

An advance directive is a legal document expressing a person’s wishes about critical care when he or she is unable to decide for him or herself. It allows you to express your wishes in advance to let your physicians and other healthcare providers know what medical treatments are acceptable in the event that you are unable to communicate them.