The information you provide below will be used to develop a profile page on the Newman Regional Health, Google Business and other web-based directory services. Each profile is unique and will have different pieces of information

Here is a link to samples of the page design and intended layout and content.

Social Media – If you want your social media pages connected to your profile, there is a space below on the form.
Two examples:

Please fill out your form below and if the team working on your profile has any questions they will reach out to you on your NEWMANRH.ORG email unless you specify a different address or contact method.

Provider Profile Information form

  • Will ONLY be used by staff and not published on the website or directories
  • Please include education, advanced education, honors, residency and other specialized training. For an example please see
  • Please include any information you would like to share about yourself, your family, your personal outlook on care, your personal motivations - anything you would like to include on the profile where readers will look to decide that you are the right person to seek help from.
  • Please provide as complete a list that is possible with in reason. Our goal is to provide search engines results when a local person searched for a specific treatment or condition.
  • Example: University of South Dakota, Bachelor of Science, Biology, Phi Sigma Honor Society
  • Example: American Board of Internal Medicine, Certified in Cardiovascular Disease ad Interventional Cardiology, Internal Medicine
  • Example: KS State Medical License
  • Example: Fellow, Society for Vascular Medicine
  • Please let us know about any concerns or special requests.
  • We will use the current head and shoulder photograph of you that we have on the website, this is for additional photographs you may want included.
    Drop files here or
  • If you want your social media connections to be shared, please list the name and identifier on the account. Example:

Connect With Us

Newman Regional Health
1201 W 12th Avenue
Emporia, KS 66801
Newman Medical Plaza
1301 W 12th Avenue
Emporia, KS 66801