Thank you for choosing to visit Dr. Gregory A. Stiver and Dr. Kurlbaum at The Dental Care Center of South Kansas City. We invite you to complete your patient forms online prior to visiting our office. For your convenience, our forms are available as both PDF files and in an online submission format. If you have any questions about our patient forms, or to set up an appointment with our dentist in Kansas City, Missouri, please contact our office at 816-941-7788.

Assignment of Benefits Form
Credit Card on File Authorization

Financial Agreement

Patient Form2015
No Insurance Financial Agreement