Patient Forms

If you are a new patient or need to update your information please complete:

Patient Forms

If you are requesting treatment for an injury please complete:

New Injury Patient Form

Please bring your complete patient forms to your appointment or email the forms to: sekortho@cableone.net

Email Patient Forms

Other Forms

Credit Card Recurring Payment Authorization Form

Medical Records Release Form

Address

Southeast Kansas Orthopedic Clinic
1902 South Highway 59
Medical Office Building D
P.O. Box 678
Parsons, Kansas 67357

Phone

620-421-0881

Fax

620-421-8391