913-322-7408   REQUEST APPOINTMENT 

 

 

New Patient Referrals

 

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Fax: 913.258.2813

Phone: 913.322.7401

 

Thank you for choosing MISH Hospital and Clinics! We look forward to providing exceptional quality of care to you and yours. Please email (This email address is being protected from spambots. You need JavaScript enabled to view it.) or fax (913.258.2813) your referrals using the appropriate form below. If you have any questions, please call 913.322.7401 for immediate assistance. 

Hospital Referral Form

  • Weight Loss Surgery
  • General Surgery
  • EGD
  • Colonoscopy
  • Sleep Study
  • Lab Work
  • Cardiac Testing

Clinic Referral Form

  • Primary Care
  • Oncology
  • Weight Loss Medicine
  • Spinal Care
  • Orthopedics
  • Rheumatology
  • Cardiology
  • Pain Management
  • Behavioral Pain Management