SALINA
P 785 827 2500
F 785 827 2515
501 S. Santa Fe | STE 210
Salina, Kansas 67401

HAYS
P 785 628 3231
F 785 628 3174
2707 Vine | STE 10
Hays, Kansas 67601

GREAT BEND
P 620 792 3666
F 620 792 3667
1017-C Jackson Square
Great Bend, Kansas 67530

Please mail completed forms along with a copy of your insurance cards, both front and back, at least 5 business days prior to your appointment:

New Patient Paperwork
Medical History
HIPPA
Other Forms
Release of Information
Financial Hardship
Payment Agreement