Our Hours
Monday - Friday 7:00 a.m. - 5:00 p.m.
*Holidays and emergencies may impact these hours.
Please call if you have any questions.
Call Us
Phone: 785.675.3018
Fax: 785.675.2306
After Hours Phone: 785.675.3281
CALL 911 IN THE EVENT OF AN EMERGENCY
Clinic Forms & Documents
Save yourself time when you come in for your appointment by filling out the appropriate forms and bringing them with you.
School Physical Form - English
School Physical Form - Spanish
NEW PATIENTS: Please fill out the following Demographic Form and bring it to your first visit.
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.
Additional Forms and Documents
Patient Rights and Responsibilities
Hoxie Medical Clinic’s Privacy Information Form
Authorization for the release of your medical records to Hoxie Medical Clinic
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”)