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Patient Forms
Liberty Medical Center
Patient Forms
If you want to make an appointment with Dr. Malisos, please fill out these two forms. Simply print them out when you are done and bring them with you. We have these same forms at the office, but you can save time by completing and printing these forms in advance. For your convenience, our forms are available in both Adobe Reader and Microsoft Word formats.

HIPAA Form
Patient Registration

GET IN TOUCH
Address and Phone Numbers
If you would like to make an appointment with Dr. Malisos, please call our office at (816) 415-2233 during regular business hours. We look forward to treating you and your family.
You can save time during your visit to our office by completing our patient forms in advance.
Visit Us
Liberty Medical Center: 1504 NE 96th St, Liberty, MO 64068, United States
Phone
+1 816-415-2233
Fax
+1 816-415-2218
Map and Directions
Conveniently located at I-35 and 291 highways by the large Pleasant Valley Baptist Church, Liberty Medical Center is one exit away from Liberty Hospital. Please see our city-level map or street-level map for more information or plug in your address for door to door directions.