Appointments

Date and Time of the Original Appointment
You Wish to Reschedule or Cancel
Date:   Time: 
 
  Do You Wish to Reschedule or Cancel?
Reschedule:   Cancel:
 
  About You
Name:  (req)
Date of Birth:  MO D YR (req)
Phone:  - - (req)
Email Address: 
 
  Preferred Form of Contact
Telephone:     Email:
 
  Reschedule Day and Time Preference
1st Preference
   Day Choice:   
   Time of Day:   AM PM No Preference
2nd Preference
   Day Choice:   
   Time of Day:   AM PM No Preference
 
  Reason for Rescheduling or Cancelling
 No Transportation
 Ill
 Overslept
 Bad Weather
 Does not want Surgery
 Getting a second opinion
 Other
If Other, please indicate your reason for canceling.
    
 
 
You should receive confirmation by the end of the next business day. We will do our best to accommodate your preferred schedule if you are rescheduling and we will let you know the details of your appointment when we contact you.




      Telephone

(620) 662-2229
Toll Free 1-888-662-2224
24 hour call coverage


        Address

1818 E. 23rd Ave
Hutchinson, KS
67502-1106

        Find Us Here