MEDICAL RECORDS AND FORMS


If you are needing your child’s medical records please contact the office at 785-842-4477.

We allow 72 hours for our nurses and providers to review and examine all paperwork prior to completing forms.

If you are needing a health history or daycare form, patients are required to have a current check up for the year. As well, immunizations are required to be up to date. A well child check or an immunization only appointment may be needed prior to releasing forms.

If you are requesting a KSHA sports form for athletics please be advised a well check/physical is required to be completed on or after May 30th for the upcoming school year. The front page of the sports form is required to be completed as well. Review of the form may be required by your provider prior to release of the form so please have all documents and information turned in at least 72 hours prior to needing the document.

FMLA forms cost $25 to be completed, please visit the FMLA page for more information.