Record Request
Print the record release form by clicking on the button below.
Once completed, fax to 316-684-3326 or deliver or mail to:
Mid-Kansas Ear, Nose & Throat Associates, 10090 E. Shannon Woods Cir., Wichita, KS 67226
Print the record release form by clicking on the button below.
Once completed, fax to 316-684-3326 or deliver or mail to:
Mid-Kansas Ear, Nose & Throat Associates, 10090 E. Shannon Woods Cir., Wichita, KS 67226