• Donate
  • Pay My Bill
  • Patient Portal
Clara Barton Logo Icon
IN THE NEWS
Special Events
Send an Ecard
Careers
  • (620) 653-2114
  • Home
  • About Us
    • CEO Message
    • Our Journey
    • Our Community
    • Board of Directors
    • Leadership
    • In the News
    • Special Events
    • Community Health Needs Assesment
  • Services
    • Cardiac Rehabilitation
    • Clara’s Corner Cafe
    • Nutrition & Diabetes Services
    • Emergency Services
    • Laboratory
    • Nursing
    • Radiology
    • Respiratory Therapy
    • Surgery
    • Therapy Services
    • Wound Care
  • Providers
    • Clara Barton Providers
    • Clara Barton Outreach Clinics
    • ER Providers
  • Clinics
    • Clara Barton Medical Clinic
    • Clara Barton Medical Clinic – Great Bend
    • Clara Barton Surgical Clinic
    • Clara Barton Medical Clinic – Russell
    • Clara Barton Outreach Clinics
  • Patient Information
    • Antibiotic Stewardship
    • Billing/Financial
    • Pricing Transparency
    • Financial Assistance
    • Medical Records
    • Patient Forms
    • Patient Portal
    • Patient Portal How To
    • Patient Rights
    • Send An Ecard
    • Visitor Information
  • Foundation
    • Donate
    • Annual Benefit
    • Donate Special Event
    • Ways to Give
    • Membership
    • Scholarship
    • Legacy Gifts
    • Guardian Angel Program
    • Newsletter
    • Board Of Trustees
  • Careers
Menu
  • Home
  • About Us
    • CEO Message
    • Our Journey
    • Our Community
    • Board of Directors
    • Leadership
    • In the News
    • Special Events
    • Community Health Needs Assesment
  • Services
    • Cardiac Rehabilitation
    • Clara’s Corner Cafe
    • Nutrition & Diabetes Services
    • Emergency Services
    • Laboratory
    • Nursing
    • Radiology
    • Respiratory Therapy
    • Surgery
    • Therapy Services
    • Wound Care
  • Providers
    • Clara Barton Providers
    • Clara Barton Outreach Clinics
    • ER Providers
  • Clinics
    • Clara Barton Medical Clinic
    • Clara Barton Medical Clinic – Great Bend
    • Clara Barton Surgical Clinic
    • Clara Barton Medical Clinic – Russell
    • Clara Barton Outreach Clinics
  • Patient Information
    • Antibiotic Stewardship
    • Billing/Financial
    • Pricing Transparency
    • Financial Assistance
    • Medical Records
    • Patient Forms
    • Patient Portal
    • Patient Portal How To
    • Patient Rights
    • Send An Ecard
    • Visitor Information
  • Foundation
    • Donate
    • Annual Benefit
    • Donate Special Event
    • Ways to Give
    • Membership
    • Scholarship
    • Legacy Gifts
    • Guardian Angel Program
    • Newsletter
    • Board Of Trustees
  • Careers
CONTACT US
Clara Barton Logo Icon
  • Home
  • About Us
    • CEO Message
    • Our Journey
    • Our Community
    • Board of Directors
    • Leadership
    • In the News
    • Special Events
    • Community Health Needs Assesment
  • Services
    • Cardiac Rehabilitation
    • Clara’s Corner Cafe
    • Nutrition & Diabetes Services
    • Emergency Services
    • Laboratory
    • Nursing
    • Radiology
    • Respiratory Therapy
    • Surgery
    • Therapy Services
    • Wound Care
  • Providers
    • Clara Barton Providers
    • Clara Barton Outreach Clinics
    • ER Providers
  • Clinics
    • Clara Barton Medical Clinic
    • Clara Barton Medical Clinic – Great Bend
    • Clara Barton Surgical Clinic
    • Clara Barton Medical Clinic – Russell
    • Clara Barton Outreach Clinics
  • Patient Information
    • Antibiotic Stewardship
    • Billing/Financial
    • Pricing Transparency
    • Financial Assistance
    • Medical Records
    • Patient Forms
    • Patient Portal
    • Patient Portal How To
    • Patient Rights
    • Send An Ecard
    • Visitor Information
  • Foundation
    • Donate
    • Annual Benefit
    • Donate Special Event
    • Ways to Give
    • Membership
    • Scholarship
    • Legacy Gifts
    • Guardian Angel Program
    • Newsletter
    • Board Of Trustees
  • Careers
Menu
  • Home
  • About Us
    • CEO Message
    • Our Journey
    • Our Community
    • Board of Directors
    • Leadership
    • In the News
    • Special Events
    • Community Health Needs Assesment
  • Services
    • Cardiac Rehabilitation
    • Clara’s Corner Cafe
    • Nutrition & Diabetes Services
    • Emergency Services
    • Laboratory
    • Nursing
    • Radiology
    • Respiratory Therapy
    • Surgery
    • Therapy Services
    • Wound Care
  • Providers
    • Clara Barton Providers
    • Clara Barton Outreach Clinics
    • ER Providers
  • Clinics
    • Clara Barton Medical Clinic
    • Clara Barton Medical Clinic – Great Bend
    • Clara Barton Surgical Clinic
    • Clara Barton Medical Clinic – Russell
    • Clara Barton Outreach Clinics
  • Patient Information
    • Antibiotic Stewardship
    • Billing/Financial
    • Pricing Transparency
    • Financial Assistance
    • Medical Records
    • Patient Forms
    • Patient Portal
    • Patient Portal How To
    • Patient Rights
    • Send An Ecard
    • Visitor Information
  • Foundation
    • Donate
    • Annual Benefit
    • Donate Special Event
    • Ways to Give
    • Membership
    • Scholarship
    • Legacy Gifts
    • Guardian Angel Program
    • Newsletter
    • Board Of Trustees
  • Careers
  • (620) 653-2114
  • (620) 653-2114

Patient Forms

Treatment Authorization Form
Lab Fair
Form
Pre-Op Anesthesia Questionnaire
Nuclear Stress Test Instructions
Notice of Privacy Practices
Aviso De PrÁcticas De Privacidad
School Physical Form
Vaccine Consent Form
Flu Vaccine Consent
Form
COVID-19 Vaccine Consent Form
No Surprise Disclosure Form
Footer Clara Barton Mobile Screen
Clara Barton Icon

Stay Connected with Your Health

Access all your health information in one place

Vel facilisis volutpat est velit egestas dui id ornare arcu. Tortor pretium viverra suspendisse potenti nullam ac tortor. Tempus quam pellentesque nec nam aliquam sem et tortor consequat. Ac turpis egestas sed tempus urna et.

DOWNLOAD APP
radiology accredidation badge
smart curve badge
3d Mamo badge
smart curve badge
PCMH Badge
radiology accredidation badge
3d Mamo badge
Previous
Next

Hospital Info

About Us

CEO’s Message

Our Journey

Our Community

Board of Directors

Leadership

Providers

Special Events

Health Needs Assessment

Services

Cardiac Rehab

Nutrition & Diabetes

Emergency Services

Laboratory

Nursing

Radiology

Respiratory Therapy

Surgery

Therapy

Wound Care

Clara’s Cafe

Patient Info

Antibiotic Stewardship

Billing / Financial

Pricing Transparency

Financial Assistance

Medical Records

Patient Forms

Patient Portal

Patient Portal How To

Patient Rights

Send an E-Card

Visitor Information 

Foundation

Donate

Annual Benefit

Special Events

Ways to Give

Membership

Scholarships

Legacy Gifts

Guardian Angel Program

Newsletter

Board of Trustees

General Info

Blog & News

Contact

Careers

Events

Locations

Clara Barton Hospital
Clara Barton Medical Clinic
Clara Barton Medical Clinic – Great Bend
Clara Barton Surgical Clinic
Clara Barton Medical Clinic – Russell

Clara Barton Hospital Foundation

CONTACT US
Clara Barton Logo Icon
Facebook-f Instagram Youtube
© 2022 Clara Barton Hospital – All Rights Reserved

web design by: kcwebdesigner.com | kcseopro.com

Clara Barton Logo Icon
Menu
  • Home
  • About Us
    • CEO Message
    • Our Journey
    • Our Community
    • Board of Directors
    • Leadership
    • In the News
    • Special Events
    • Community Health Needs Assesment
  • Services
    • Cardiac Rehabilitation
    • Clara’s Corner Cafe
    • Nutrition & Diabetes Services
    • Emergency Services
    • Laboratory
    • Nursing
    • Radiology
    • Respiratory Therapy
    • Surgery
    • Therapy Services
    • Wound Care
  • Providers
    • Clara Barton Providers
    • Clara Barton Outreach Clinics
    • ER Providers
  • Clinics
    • Clara Barton Medical Clinic
    • Clara Barton Medical Clinic – Great Bend
    • Clara Barton Surgical Clinic
    • Clara Barton Medical Clinic – Russell
    • Clara Barton Outreach Clinics
  • Patient Information
    • Antibiotic Stewardship
    • Billing/Financial
    • Pricing Transparency
    • Financial Assistance
    • Medical Records
    • Patient Forms
    • Patient Portal
    • Patient Portal How To
    • Patient Rights
    • Send An Ecard
    • Visitor Information
  • Foundation
    • Donate
    • Annual Benefit
    • Donate Special Event
    • Ways to Give
    • Membership
    • Scholarship
    • Legacy Gifts
    • Guardian Angel Program
    • Newsletter
    • Board Of Trustees
  • Careers
CONTACT US