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Referring Physicians

Referring physicians or DoctorWould you like to refer a patient to us?


We appreciate referrals from other health providers and take them very seriously.

New Referral Application

Please fill out the following form to expedite your patient’s appointment with us.
  • We will call you back to confirm your patient’s appointment time.
  • Confidentiality Notice

    Th materials enclosed with this form are private and confidential and are the property of the sender. The information contained in the material is privileged and is intended only for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be advised that any unauthorized disclosure, copying, distribution, or the taking of any action in reliance on the contents of this information is strictly prohibited.

For your convenience, the following form is a downloadable PDF that can be filled out and sent to our office via fax to expedite your patient’s appointment with us. We will inform you via fax when the appointment is scheduled.


In addition, we have several dedicated staff members ready to answer your phone call if you prefer. Please call us at 913-381-5225 and we would be happy to assist you.


We have attached a downloadable PDF that includes a list of all current insurance plans that we participate in.


Continuity of care is important and it is our goal to send our clinic notes to you in a timely manner and keep you up to date with our treatment plan for your patient.


We have same day appointments! Please know our same day appointments for urgent issues may be scheduled with our certified Physician’s Assistants or Nurse Practitioners when a physician is not available.