Patient Portal

 

Schedule An Appointment

Pittsburg-Main
3011 N. Michigan

620-231-9873

Walk-In Care
Open 7 Days A Week
No Appointment Needed
620-240-5600


Pittsburg-Dental
924 N. Broadway

620-231-6788

Iola
2051 North State St.

620-380-6600

Baxter Springs
2990 Military Ave.

620-856-2900

Coffeyville
801 W. 8th St.

620-251-4300

Columbus
120 W. Pine

620-429-2101

Parsons
2100 Commerce Dr.

620-717-4450

Independence
3751 W. Main

620-577-2131

 

CHC/SEK Medical Records

If you are a current patient of the Mercy clinics in Fort Scott, Arma and Pleasanton or the Mound City Family Care clinic and plan to transfer healthcare services to the Community Health Center of Southeast Kansas, it is necessary to get your approval for the transfer of your medical records to CHC/SEK’s electronic health record. Parents and guardians may complete a release of medical records for patients who are under 18 years old.

Please take a few moments to complete the forms online at the appropriate links below. You can also choose to download and complete the forms at the appropriate links below. Downloaded and completed forms can be returned to clinic staff, mailed to Community Health Center of Southeast Kansas, PO Box 1832, Pittsburg, KS 66762 or faxed to 620-235-0869.

Mercy Clinic Patients (Fort Scott, Arma and Pleasanton)
Complete the online version
English
Spanish

Download the forms and complete by hand
English
Spanish

Mound City Family Care Patients
Complete the online version at (Link is coming soon)

Download the forms and complete by hand
English
Spanish