• Dr. Andrea Keele

Appointments and Forms

Patient Forms

Use the link below to download our patient forms in PDF format. You may fill these out electronically, or print them out and hand write your information (please print legibly).
Review of Systems Form
Financial Policy Form

Appointment Scheduling

Please fill out the form below, and a Northland Eye Specialists staff member will be in touch with you shortly to to get you scheduled for an appointment, or you may call 816-792-1900 to schedule.