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.

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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