Request An Appointment Form

If you wish to inquire about becoming a patient at New Beginnings please download the Request An Appointment Form and return to our office via email or in person. Please note, you will need to download this form and return as an attachment to our confidential email address included on form. You may also call our office at 785-233-7138.

If you already have a scheduled appointment with a provider, please complete the New Patient Enrollment Forms below prior to your first appointment.

New Beginnings would like to make your first visit easier and stress free. Download these forms prior to your first session and complete them at home. Bring them to your first visit and our receptionists will help register you and take your insurance information at that time. Please only use these forms if you have a scheduled appointment with a provider. 

If you wish to inquire about becoming a patient at New Beginnings please call our office at 785-233-7138 or download Request An Appointment Form below.