Please fill out the form below and submit it. A scheduling representative will call and confirm your request and determine the appointment date and time.
If you have questions or would like more information, please call us at (620) 343-2376 and a representative will be happy to assist you.
Before you arrive:
- Bring any diagnostic films or other test results that may have been ordered or performed by another physician.
- You may speed up your registration process by downloading, printing, and completing the Patient Registration Form
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