Request an Appointment Form

If  you wish to inquire about becoming a patient at New Beginnings please either complete the online form or download it and return it 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, nbhc@newbeginningshealthcare.com. 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.  You can either complete this form online or download these it prior to your first session and complete it at  home. If you dowlaod the form, bring it 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 use the Request An Appointment Form above.

Use the Release of Information form if you would like to have copies of your sent to another provider, or if you are involved in the care of a New Beginnings patient and wish to speak with us (requires patients' approval.

You can either complete the form online or download it. If you download it, send the completed form to nbhc@newbeginningshealthcare.com or bring it to us on your next visit.

If you questions about this form,  please call our office at 785-233-7138.