Skip to content
After Hours Care: 888-516-6181
Facebook-f
Linkedin-in
Instagram
Location & Hours
Patient Portal
Pay Online
Home
COVID-19
Patients
New Patients
Patient Forms
Patient Portal
Paying For Care
Services
Behavioral Health
Community Outreach
Dental
Dental Outreach
Interpreter Services
Medical
Medication Assisted Treatment (MAT)
Nutrition Services | Diabetes Support
Pharmacy
Sexual & Reproductive Health
WIC
Careers
Clinic Staff
Healthcare Providers
Who We Are
About Konza
Annual Report
Leadership
Meet Our Care Team
News
Contact
Location & Hours
After Hours Care
Home
COVID-19
Patients
New Patients
Patient Forms
Patient Portal
Paying For Care
Services
Behavioral Health
Community Outreach
Dental
Dental Outreach
Interpreter Services
Medical
Medication Assisted Treatment (MAT)
Nutrition Services | Diabetes Support
Pharmacy
Sexual & Reproductive Health
WIC
Careers
Clinic Staff
Healthcare Providers
Who We Are
About Konza
Annual Report
Leadership
Meet Our Care Team
News
Contact
Location & Hours
After Hours Care
Search
Patient Forms
Call to Make an Appointment
Junction City & Chapman:
785-238-4711
Manhattan:
785-320-7134
Patient Forms
Medical | Dental | Behavioral Health Forms
New Patient Packet (online)
New Patient Packet (printable)
Patient Information Update (online)
Patient Information Update (printable)
Authorization to Release Information
Discount Fee Application
Notice of Privacy Practices
Minor/Child Consent to Treat
Patient Rights & Responsibilities
Formularios Médicos | Dentales | Salud Conductual
Paquete para nuevos pacientes (en línea)
Paquete para nuevos pacientes (imprimible)
Formulario de actualización del paciente (en línea)
Formulario de actualización del paciente (imprimible)
Autorización para divulger información
Descuento de la tasa app
Aviso de prácticas de privacidad
Consentimiento del menor/niño
Derechos y responsabilidades del paciente
Discounted Fee Schedules | Programas de Descuento de Tarifas
Discount Fee Scale – Medical & Behavioral Health
Discount Fee Scale – Dental
Discount Fee Scale – Family Planning
Programa de Descuento de Tarifas – Médicos y Salud Conductual
Programa de Descuento de Tarifas – Dental
Programa de Descuento de Tarifas – Planificación Familiar
Questions?
Call and speak to one of our experienced, friendly staff who can help answer your questions.
Junction City & Chapman:
785-238-4711
Manhattan:
785-320-7134
Navigation
Home
COVID-19
Patients
New Patients
Patient Forms
Patient Portal
Paying For Care
Services
Behavioral Health
Community Outreach
Dental
Dental Outreach
Interpreter Services
Medical
Medication Assisted Treatment (MAT)
Nutrition Services | Diabetes Support
Pharmacy
Sexual & Reproductive Health
WIC
Careers
Clinic Staff
Healthcare Providers
Who We Are
About Konza
Annual Report
Leadership
Meet Our Care Team
News
Contact
Location & Hours
After Hours Care
Location & Hours
Patient Portal
Pay Online
Facebook-f
Linkedin-in
Instagram