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Kiowa County Memorial Hospital
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    • Radiology
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  • Locations
  • About Us
    • Mission & Values
    • Our Green Initiative
    • The Tornado
    • KCMH Boards
    • Transparency in Coverage
  • Health Needs Assesment
  • Patient Rights
  • KCMH Patient Portal
  • Financial Assistance
  • Standard Charges
  • Employment Opportunities
  • Records Request
  • Health Resources
    • Educational Videos
    • Asbestos.com
    • Mesothelioma.net
  • COVID-19 Self Assessment
  • More
    • Home
    • Services
      • Emergency Services
      • Laboratory
      • Radiology
      • Physical Therapy
      • Rural Health Clinic
      • Swing Bed & Acute Care
      • Specialty Clinics
      • Conference Center
    • Providers
    • Locations
    • About Us
      • Mission & Values
      • Our Green Initiative
      • The Tornado
      • KCMH Boards
      • Transparency in Coverage
    • Health Needs Assesment
    • Patient Rights
    • KCMH Patient Portal
    • Financial Assistance
    • Standard Charges
    • Employment Opportunities
    • Records Request
    • Health Resources
      • Educational Videos
      • Asbestos.com
      • Mesothelioma.net
    • COVID-19 Self Assessment
Kiowa County Memorial Hospital

EN

  • Home
  • Services
  • Providers
  • Locations
  • About Us
  • Health Needs Assesment
  • Patient Rights
  • KCMH Patient Portal
  • Financial Assistance
  • Standard Charges
  • Employment Opportunities
  • Records Request
  • Health Resources
  • COVID-19 Self Assessment

Patient Rights

Please click on the links below to view KCMH patient policies. Kiowa County Memorial Hospital does not discriminate with regard to patient admissions, room assignment, patient services, or employment on the basis of race, color, national origin, gender, religion, disability or age. If assistance or communication aids for impaired hearing, vision, speech, or manual skills are needed, KCMH will make reasonable accommodations.


If you believe that Kiowa County Memorial Hospital or Greensburg Family Practice has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Hospital Administrator, Kiowa County Memorial Hospital 721 W. Kansas Avenue, Greensburg, Kansas 67054 (620) 723-3341 administration@kcmh.net. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Hospital Administration is available to help you.

 

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.

Patient Rights, Responsibilities, and Complaint Policy (pdf)Download
Notice of Privacy Practices 2021 (pdf)Download
Non-Discrimination Policy 2022 (pdf)Download
Visitation Policy 2022 (pdf)Download
Grievance Policy 2022 (pdf)Download

Release of Health Records

If you would like to request copies of your medical records please download the file below and fill it out completely. You can then fax or mail the completed form and someone from our HIM department will contact you.

Fax Number: (620) 723-2195

Mail Form: Kiowa County Memorial Hospital

Attention HIM Department

721 W. Kansas Ave.

Greensburg, KS 67054

Authorization for Release of Information (pdf)Download

Copyright © 2022 Kiowa County Memorial Hospital - All Rights Reserved. 

Notice of Privacy Practices. This institution is an equal opportunity provider and employer.

 If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov 


  • Transparency in Coverage
  • Health Needs Assesment
  • Patient Rights
  • KCMH Patient Portal
  • Financial Assistance
  • Standard Charges
  • Employment Opportunities
  • Records Request
  • COVID-19 Self Assessment
  • No Surprise Billing

KCMH Board Meeting

The next regular board meeting will be held on Friday, July 29, 2022 at 9:30 am.

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