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
Are you the patient/account owner
Please enter the following patient information
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. 
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.
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