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Patient Portal Assistance & Medical Record Requests at NMC Health in Newton, KS

Questions marked with a * are required

If you need assistance logging into your patient portal account or need to access your records from before June 1, 2017, please fill out this form.

NMC Health
600 Medical Center Drive
Newton, Kansas 67114

First Name

Last Name

Phone Number

Your Current Email Address

What do you need help with

Patient portal

Medical record request for year prior to June 1, 2017

Are you the patient/account owner

Yes

Please enter the following patient information

First Name

Last Name

What is your date of birth?

What is the patient's date of birth?

IMPORTANT: We will not provide you answers to your medical questions here. This process is only to help you gain access to your patient portal account. There, you can communicate with your doctor and nurse, review results and see your medical records.

Please describe the technical issue you are experiencing with the patient portal

If you can, please provide a date of service

I understand that this is a general contact form. I am voluntarily including any personal health information herein. This form is only applicable to NMC Health of Newton, KS -owned locations and facilities.

I Agree