Patient Forms
Thank you for choosing Girard Medical Center Primary Care Clinics. To make it easier for our patients below is the required patient paperwork that can be completed and brought with you to your next visit. If you have questions please contact the clinics directly.
New Patient Request Form (Girard Clinic)
DOT Medical Examination Report Form
Clinic Locations:
Girard Medical Center
302 North Hospital Dr.
Girard, KS 66743
(620) 724-8291
Girard Medical Center Health Clinic
Adam Paoni, DO
Lisa Salvador, MD
Tanya Brokob, APRN
304 N Hospital Drive
Girard, KS 66743
Monday - Friday: 8:00 am - 5:00 pm
Phone: (620) 724-4659
Fax: (620) 724-6955
Girard Express Care
Doug Brown, MD
307 N Hospital Drive
Girard, KS 66743
Saturday & Sunday: 9:00 am - 5:00 pm
Girard Medical Center of Cherokee
Dakota Bunch, MD
Kathy Flora, APRN, FNP-C
120 NW Hwy 400
Cherokee, KS 66724
Monday - Thursday: 8:00 am - 5:00 pm
Friday: 7:30 am - 12:00 pm
Phone: (620) 457-8101
Fax: (620) 457-8103
Girard Medical Center of Frontenac
Dustin Bonzo, MD
Pam Murphy, APRN
Kay Quick, APRN
1011 N Hwy 69
Frontenac, KS 66763
Monday - Thursday: 8:00 am - 5:00 pm
Friday: 8:00 am - 4:00 pm
Phone: (620) 235-1377
Fax: (620) 235 - 1558
Girard Medical Center of Arma
Dakota Bunch, MD
Kim Burns, APRN, FNP-C
317 E Washington
Arma, KS 66712
Monday - Friday: 8:00 am - 5:00 pm
Phone: (620) 347-4711
Fax: (620) 347 - 4704
Girard Medical Center of Uniontown
Stephanie Hallacy, APRN
401 5th St.
Uniontown, KS 66779
Monday - Thursday: 8:00 am - 5:00 pm
Phone: (620) 756-4111
Fax: (620) 756-4115
Girard Medical Center of Fort Scott
Katrina Burke, MD
Kristi Harbit, APRN
109 S Main St.
Fort Scott, KS
Monday - Thursday: 8:00 am - 5:00 pm
Friday: 8:00 am - 2:30 pm
Phone: (620) 224-2627
Fax: (620) 224-2453