top of page

Request an appointment

Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.

Please complete the following form to request an appointment, also note that availability will vary depending on your request. Your appointment will be confirmed by phone or email and paperwork will be sent to you from one of our staff.

If you are requesting an appointment on short notice request please call our office at 316-283-6363

Appointment Form

To register, please take the time to fill out the information below.

What is your preffered time?

508 N Main Street
Newton, KS 67114

bottom of page