Advance Directive
When planning for your future medical care, prepare your advance directives to be sure your loved ones make health choices according to your wishes. Get the Kansas advance directive form, you’ll find instructions on how to fill out the form in the first few pages.

Release of Medical Records
For release of medical records, please select the appropriate form below:

FMLA, Disability & Miscellaneous Insurance Forms
Forms will be completed through your nurse.
There is a fee of $25.00 per completed form.
Forms can take 5 to 7 business days to complete.

      • Please leave all sections to be completed by the healthcare provider blank.
      • If you improperly complete a form, it may cause delays and / or we may request a new form from you.
      • Let us know if you would like your form faxed, mailed or picked up in person.
      • We will contact you when your paperwork is completed.

To view the forms listed above you will need Adobe Reader. You may download Adobe Reader for free at http://get.adobe.com/reader/

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