Each form below corresponds to a specialty clinic or department within our system, ensuring a seamless referral process and timely access to expert care. Download and complete the appropriate form, then follow the instructions in the PDF for submission.
Breast Health
HaysMed’s Breast Care Center offers comprehensive breast screening, diagnostics, and surgical care close to home. With advanced technology and personalized services close to home, we focus on your health and well-being.
Cardiology
As the region’s leader in cardiac care, the DeBakey Heart Institute offers diagnostics, surgery, and ongoing management, with specialists utilizing breakthrough procedures and technology.
Cancer Care
The Dreiling/Schmidt Cancer Institute provides advanced oncology and hematology care in your community. Our experienced team works closely with you to develop a comprehensive treatment plan, ensuring your confidence and understanding at every step.
Diabetes Care
Diabetes Solutions is an accredited diabetes education program by the American Diabetes Association (ADA). Our program empowers participants to actively manage their diabetes while providing resources, education and support.
Ear, Nose and Throat
Our ENT providers work with audiologists, neurologists and other specialists to treat minor issues, such as earaches and sinus conditions, and complex problems with hearing, balance, taste and speech.
Family Medicine
Our doctors, nurse practitioners, and support staff deliver high-quality, highly personalized primary care from newborns to senior citizens. We’re here for your family’s everyday health needs, chronic care, and wellness planning.
Internal Medicine
Like all HaysMed physicians and providers, our internal medicine specialists are here to support your health with personalized care for adults.
Kidney Care
The Nephrology Center of Western Kansas specializes in diagnosing and treating kidney disease, including dialysis care coordination and care for transplant recipients.
Orthopedics
As a leading rural hospital, HaysMed Orthopedic Institute delivers advanced orthopedic care to Western Kansas, including joint replacements, sports medicine, trauma care, rehabilitative therapy, and spine surgery.
Pain Management
We help patients manage chronic pain and improve their quality of life through interventional procedures that target the root cause of pain, not just the symptoms.
Pediatrics
Utilizing the latest research and evidence-based guidelines, our pediatric providers deliver personalized care to ensure your family remains healthy and strong at every stage of development, from infants and children to adolescents and teens.
Pulmonology
Pulmonology Associates at HaysMed delivers comprehensive care for lung conditions, including asthma, COPD, and sleep disorders.
Surgery
You can trust that our team at Southwind Surgical is always on-site and ready to assist. Our experienced surgeons use advanced technology to offer personalized treatment, including general and laparoscopic procedures.
Urology
Western Kansas Urological Associates offers expert care for urinary and reproductive health issues, providing accurate diagnoses and advanced treatments, including on-site procedures.
Women’s Health
At HaysMed, we care about women’s health and provide compassionate care for all stages of life. Combining expert medical attention with advanced technology and a supportive team of professionals ensures you receive top-quality treatment.
Need help?
If you have questions about completing a form or locating the right service line, please contact our visit our Contact Us page.