Schedule an Appointment
If you would like to schedule an appointment, please fill out the forms and complete with either method below. After the forms have been received, we will follow up to schedule an appointment or you may call (620) 792-5173. maybe we should clarify the registration packet is the Registration form, HIPPA, informed consent, and waiver. If financial assistance is needed; the Financial form and then if information is to be shared with anyone, then they can utilize the release of info form.
Print off the forms and fill them out. Either scan them in and e-mail them to email@example.com, or mail them to:
Healing Hearts Ranch, Inc.
155 SE 1st Ave.
Great Bend, KS 67530
Download the forms and fill them out on your computer, and then e-mail them to the below address. firstname.lastname@example.org
The Registration Packet consists of these four forms:
For financial assistance, please use this form:
To share information with anyone,
please utilize this form.