Welcome to KPOS!Our ServicesAbout Dr. HowellEye Care for Children
Eye Information
Contact Us
Map to Our Location
Patient Forms
Patient Forms

Please print and complete the appropriate forms below. New patients should complete the HIPPA, KPOS financial policy, and KPOS New Patient forms.

Returning patients need only fill out the Return Patient form.

Please bring all completed forms with you on the day of your appointment. Failure to bring these forms will require the forms to be completed in the office prior to your appointment.

New Patients

HIPPA form
KPOS Financial Policy
KPOS New Patient form for adults
KPOS New Patient form for children

Acknowledgement of HIPPA


Return Patients

KPOS Return Patient form for adults
KPOS Return Patient form for children





A map to our offices.





Welcome to KPOS!Our ServicesAbout Dr. HowellEye Care for Children