Telemedicine Consult Request

If you have any problems or questions regarding this system, please contact us at 913-588-2226.

Complete the questions below and click "Request Forms" to download the needed forms.


Is this patient coming in for a Follow-up visit or a New Visit for this particular Telemedicine specialty clinic?
[A known patient being seen in a different specialty clinic is considered to be a "new visit"]
 

What clinic do you need?





         

If you are confused about this process, visit our Help Page.