Request an appointment
Thank you for choosing MISH Hospital and Clinics. Complete the form below and we'll call you back with the dates and times available — usually within one business day.
If you'd rather speak to someone now, call us. There's no advantage to the form; it's just there for when calling isn't convenient.
This form is not for urgent problems. We read it during office hours, and a reply can take a day.
If you're having chest pain, difficulty breathing, severe bleeding, stroke symptoms or a serious injury, call 911 or go to the nearest emergency department. For something that can't wait for an appointment but isn't an emergency, Urgent Care of Kansas is open seven days a week.
What to have ready
A phone number we can reach you on
We call to book — we don't email times back. Give us the number you'll actually answer during the day.
Which service you need
Bariatric surgery, general surgery, spine, pain management, cardiology, endoscopy, imaging or lab. Not sure? Say so and we'll help you work it out.
Your referral, if you have one
Some insurers require one, some don't. You don't need it to request an appointment — mention it and we'll check what yours needs.
Please don't include medical details in this form. We only need enough to call you back and book the right clinic. Save the rest for the appointment, or tell us on the phone.
Complete the form below
Four fields. It takes under a minute.