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