If you would like to request an appointment at our hospital, please fill out and submit the form below, or call us at (785) 672-3411. Please note that this is only a request, someone from our hospital will contact you shortly to confirm a date and time for your appointment.
Request Appointment
If your matter is URGENT, or you feel you are experiencing an EMERGENCY, please call us immediately at (785) 672-3411 and DO NOT use the form below.
"*" indicates required fields
