Nurse appointment request

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Nurse Appointment Request Form - *members only**

If you need a same day appointment, PLEASE CALL us at 913-948-7652.

* Indicates required field

Name *

First

Last

Date of birth *

Email *

Phone Number *

Who is your doctor? *

Preferred notification method *

Reason for nurse visit *

Comments *

Please choose AT LEAST 5 times that would work for you - within the next 7 days only.
If you need a same day appointment, PLEASE CALL. Thanks so much!

Monday *

9:15am 9:45am 10:15am 10:45am 11:15am 11:45am 3:15pm 3:45pm 4:15pm 4:45pm

Tuesday *

9:15am 9:45am 10:15am 10:45am 11:15am 11:45am 3:15pm 3:45pm 4:15pm 4:45pm

Wednesday *

9:15am 9:45am 10:15am 10:45am 11:15am 11:45am 3:15pm 3:45pm 4:15pm 4:45pm

Thursday *

9:15am 9:45am 10:15am 10:45am 11:15am 11:45am 3:15pm 3:45pm 4:15pm 4:45pm

Friday *

9:15am 9:45am 10:15am 10:45am 11:15am 11:45am

I understand my appointment is NOT confirmed until I receive an email or text message with appointment details. *

I understand

I understand this is a NURSE visit only and I will not be seeing a doctor unless otherwise arranged. *

I understand

Submit

CONTACT US!
7199 W 98th Terrace, Suite 110
Overland Park, KS 66212
Bldg #3 in Windmill Village
phone:: 913-948-7652
fax: 913-273-2474
hello@healthsuite110.com

Clinic Hours
Monday-Thursday 9am-5pm
Friday 9am - 12pm

2022 Holidays - Clinic CLOSED
Annual Staff Retreat - April 22
Memorial Day - May 30
Independence Day - July 4 & 5
Labor Day - Sept 5
Thanksgiving - Nov 23, 24, 25
Christmas - Dec 23 & 26

HOME
About
- Our team
- Testimonials
Services
- For individuals & families
- For Businesses
Pricing
Member Resources
COVID-19
Join now
Contact us

Nurse Appointment Request Form - members only*

Please choose AT LEAST 5 times that would work for you - within the next 7 days only.​If you need a same day appointment, PLEASE CALL. Thanks so much!

Nurse Appointment Request Form - *members only**

Please choose AT LEAST 5 times that would work for you - within the next 7 days only.
If you need a same day appointment, PLEASE CALL. Thanks so much!