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. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!

Appointment Form

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

What is your preffered time?

Locations

508 N Main Street
Newton, KS 67114

111 W. Smith Street
Hesston, KS 67062