CareVan


CareVan

At Community Health Center of Southeast Kansas (CHC/SEK), we provide general public transportation services (CareVan services) on a first come, first serve basis. Our CareVan services are available in Bourbon,…

Pediatric Dental Assistant Application

…U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Current Occupation(Required) Do you have a High School Diploma and/or GED?(Required) YesNo Preferred Method of Communication(Required) PhoneE-Mail I would like to be selected for…

Financial Assistance

…Please call or visit one of our clinics for more information. You will need to complete a Financial Assistance Form (see below) and provide proof of income – bring these…

Health Records

…guardians may complete a release of medical records for patients who are under 18 years old. All CHC/SEK Clinic Patients Complete the online version Release of Information English Spanish Demographics…

Inspire Health

Explore the Possibilities in Health Careers with Inspire Health Inspire Health Foundation (IHF), a subsidiary of the Community Health Center of Southeast Kansas, promotes health careers by engaging students, parents,…

School Health Clinics

…Depending on the needs of the school and the community, these healthcare services can include medical services, behavioral services, and outreach services. If you are a school district that would…

School Health Clinics

…Depending on the needs of the school and the community, these healthcare services can include medical services, behavioral services, and outreach services. If you are a school district that would…

FLU Vaccination Form

First Name* Last Name* Date Of Birth* Phone* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius…

Patient Forms

…Release of Information (PSU) (for CHC/SEK to receive your Bryant Student Health Center Records for visits prior to August 7th, 2023) Release of information – English Release of information –…