Forms
New Patient Paperwork
New Patient Forms: please download and fill out the new patient forms prior to your first visit.
Release of Information to a family membe[...]
Adobe Acrobat document [218.0 KB]
Adobe Acrobat document [218.0 KB]
For physicals and other visit forms please select the appropriate sub-pages to the left.
Please Note: It is not okay to copy and/or reproduce any form from this site for any use other than that for which it was originally intended.
Where to Find Us
Tanglewood Family Medical Center P.A.
606 N Mulberry Rd
Derby, Ks 67037
Phone: (316) 788-3787
Fax: (316) 788-2618
After Hours Physicians Exchange (316)262-6262
Clinic Hours
| Mon | 8am - 5:00pm | |
| Tues | 8am - 5:30pm | |
| Wed | 8am - 7:30pm | |
| Thurs |
8am - 5:00pm |
|
| Fri | 8am - 3:30pm | |
| Sat |
8am - 10am |
Hours may vary based on provider availability. Hours subject to change. Please call for scheduling.
Lab Hours
| Mon | 8am - 1pm | |
| Tues | 2pm - 4pm | |
| Wed | 8am - 1pm | |
| Thur | 2pm - 4pm | |
| Fri | 8am - 1pm | |
| Sat | Lab Closed |
Print 