Heartland Women's Health logo
Gynecology and Obstetric Services
Phone: (316) 858-7100 ~ Wichita, KS

Don't Forget

It is very important for patients to remember to bring the following items to their first and/or subsequent visits:

  • Completed paperwork
  • Insurance card
  • Type of payment (co-payment – OB payment)
  • PCP referral

One important policy with our office is; if you are more than 15 minutes late (for any reason), we will reschedule your appointment.  HWH strives to maintain an on-time schedule for all patients.

Forms

The following forms are available on our website.  These should be read and understood by each patient.  Should you have questions, please speak with the Office Manager at your first and/or subsequent visit.

  1. HIPAA Form
  2. Financial Policy
  3. Release of Information
  4. History & Physical Form

Insurance

Should your insurance change, please make sure you notify the receptionist at check in.  We will scan your new insurance card and obtain new benefits.

Doctor Referral

If you have been seen by one of our physicians, please print and complete a satisfaction survey.

Financial Policy

Please print this financial policy and bring it with you to your appointment.

Phone: (316) 858-7100 Fax: (316) 858.7103
9300 E. 29th N. Suite 320, Wichita, KS 67226
3636 N. Ridge, Bldg 100, Suite 2, Wichita, KS 67205
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