Welcome New Patients!
We are glad that you want to become a patient of Heartland Health Care Clinic and we look forward to providing you and your family with the best medical care possible. Please fill out the patient packet in full detail and return to Heartland Health Care Clinic within two weeks. You may do that in any of the following ways:
- Drop it off in person
- Fax it to 785-263-2774
- Email it to email@example.com
- Mail it to 511 NE 10th St., Abilene, KS, 67410
For speedier processing, please include photocopies (front and back) of your insurance cards. If you desire to bring them with you to your first appointment we can scan them at that time as well. In order to provide you with the best care, our providers need your prior medical records before your appointment. Please make sure to fill out the release form included with the patient packet. Please note: it can take up to 30 days to receive records from another facility, and we can schedule your first appointment with that in mind.
* We reserve the right to not see a patient or discontinue services at our discretion. Please be sure to review the Financial Policy and the Patient Rights and Responsibilities attached with the patient packet.*
CLICK HERE FOR PATIENT PACKET – English Version
CLICK HERE FOR PATIENT PACKET – Spanish Version
Other Patient Forms
- Sports Physical
Use this form for your child to participate in Sports Physical Night on May 3, 2023.
- HIPAA - Release of Information
Help keep your records protected and let us know who has permission to request your patient information!
- Record Request - From Us
Use this form to request records that we have on file.
- Record Request -To Us
Use this form to request records be sent to us from another facility or provider.
Would you like more information about Heartland Health Care Clinic?
Please call or come by!
Heartland Health Care Clinic
511 NE 10th St.
Abilene, KS 67410
Phone: (785) 263-4131
By appointment only:
Hours: 8:30 a.m. – 5:00 p.m.
Monday – Friday
Walk-In – No appointment needed:
Hours: 7:00 a.m. – 11:00 a.m.
closed for lunch
1:00 p.m. – 6:00 p.m.
Monday – Friday