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
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:
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