SCHC

Hoxie Medical Clinic

In the event of an emergency or life threatening matter please call 911!
Phone: 785.675.3018
Fax: 785.675.2306
Walk-ins: M-F 7:00 a.m. - 8:30 a.m. Appointments: M-F 10:00 a.m. - 5:00 p.m.
Our providers are available after hours for urgent matters that may not wait until normal office hours. Please call (785) 675-3018 to speak with a nurse who can assist you and/or put you in contact with a provider. Please be considerate and limit calls to urgent matters or emergencies only.

Hoxie Medical Clinic received a 330 Grant from the Health Resources and Services Administration (HRSA) in May of 2015 and became Northwest Kansas’ only Federally Qualified Health Center (FQHC). As an FQHC, we provide services to all patients regardless of insurance, financial status, or ability to pay. We offer a Sliding Fee for those who have a financial need based solely on family size and income. Hoxie Medical Clinic serves 13 counties in Northwest Kansas. We accept Medicare, Medicaid, and most private insurance plans.

NOTICE TO PATIENTS

This practice serves all patients regardless of inability to pay. Discounts for essential services are offered depending upon family size and income. You may apply for a discount at the front desk. This practice accepts Medicare, Medicaid, and other insurance plans.

How it works…

Hoxie Medical Clinic offers a Sliding Fee Scale Discount to all eligible uninsured or under-insures patients. This program allows qualifying patients to receive medical care at a lower cost. Eligibility for the Sliding Fee Scale will be established by determining the household size and the annual household income. This info must be updated annually. HMC requires valid proof of income, household size, & completion of a Household Assessment when applying for the sliding scale fee discount.

If a patient chooses not to provide the required information, then he/she will not receive the discounted rate offered through the Sliding Fee Scale Discount Program.

If the patient declares no income, the patient must provide a collaborative letter from the individual assisting the patient financially (who is helping pay your bills, provide housing, etc).

  • Those who qualify for the sliding scale discount are expected to pay at the time of service. Refusal to pay the appropriate fee may result in the appointment being rescheduled. (some exceptions apply)
  • Patients with insurance coverage are also eligible to apply for the sliding fee scale. After the insurance has processed the claim & the patient has a remaining balance, then the balance may be adjusted based on the SFS.
  • Patients who don’t bring proof of income will be allowed to self-declare for the visit. Patient will need to supply income information 14 calendar days from date of service to qualify for Sliding Fee Scale. If completed application & proof of income is not received by the end of the 14 calendar days grace period he/she will be charged the full standard fee.
The necessary documents are listed below. You may drop the completed forms off at the Reception desk.

Sponsored Care Application Process

A completed application including the required documentation must be on file and approved by the business office before a discount will be granted. Those requiring assistance with the applicaiton process may contact Susan in the Social Services office at 785-675-3281 ext. 133.

Download the Sponsored Care Application

Other Downloadable Forms

Save yourself time when you come in for your appointment by filling out the appropriate forms and bringing them with you.

Services Provided:

  • Primary Medical care
  • Long-Term Care
  • Case Management
  • Well Child Exams
  • Well Woman Exams
  • Well Man Exams
  • Patient Portal
  • Family Planning
  • Inpatient Services
  • Dental Health
  • Adult Immunizations
  • Child Immunizations
  • STD Screening
  • SHICK (Medicare)Counseling
  • Prescription Assistance
  • Smoking Cessation
  • Outpatient Services
  • Addiction Counseling Referrals
  • Behavioral Health
  • Certified Marketplace Navigator
  • Sliding-Scale Fee Discount Program
  • Community Resource Assistance
  • Diabetes Care & Prevention
  • Preventive Health Education

If you are bringing your child in for a well-child exam, please click on the following link and on the left side of the page select, “BRIGHT FUTURES TOOL and RESOURCE KIT.” Select the appropriate age tool, open and print the correct “TOOL,” fill it out and bring it to your visit. (if you get a pop-up, just “cancel”)

Bright Futures Tool

What you need to bring:

  • Photo ID
  • Insurance card (if insured)
  • Copay-Credit/Debit Card, Cash, or Check
  • Current Medication list and/or Current Medication Bottles
  • Immunization Records (if applicable for appt.)

NEW PATIENTS: Please fill out the following Demographic Form and bring it to your first visit. Also, ESTABLISHED PATIENTS: Please fill out the Demographic Form & bring it with you to your FIRST VISIT in a NEW YEAR. To better serve you, and to be compliant with federal regulations, we must update your information annually.

Demographic Form

Additional Forms

*** Must be updated annually ***

Authorization for the release of your medical records to HMC

ACKNOWLEDGMENT OF RECEIPT OF NOTICE

Hoxie Medical Clinic’s Privacy Information Form

Clinic HIPAA form

Acknowledgment of receipt of notice of Privacy Information

Authorization for release of info CLINIC

Contact Information:

826 18th Street, Suite A
Hoxie, KS 67740-4373

OR

P.O. Box 415
Hoxie, Ks. 67740

Phone: 785.675.3018

Fax: 785.675.2306

Hospital
Patient Portal

  • Online bill pay
  • View portions of your records
  • Message a provider

**Active Patient Portal account required.

**An email address must have been provided to us durring registration. A Patient Portal invitation would have been emailed directly to you. If you are unable to login, please contact the Hospital Business Office at 785.675.3281 for assistance.

Hospital Portal User Guide

Clinic
Patient Portal

  • Online bill pay

OR

Click HERE to enroll.

Newsletters

The latest editions of our quarterly newsletters!

Healthstream

Sheridan County Health Complex

826 18th St.

PO Box 167

Hoxie, KS 67740

Phone: 785.675.3281

Fax: 785.675.3840

Hoxie Medical Clinic

826 18th Street, Suite A

Hoxie, KS 67740 - 4373

Phone: 785.675.3018

Fax: 785.675.2306

Selden Community Clinic

Phone: 785.386.4380



Hoxie Medical Clinic is an FTCA Deemed Facility