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Children's Mercy Kansas City fax number

(816) 855-1776

Contact Center / Referring Providers

Used for: Referrals, consults, admissions communications with referring providers; processing of New Patient Appointment referrals

Fax destination details

Department
Contact Center / Referring Providers
Purpose
Referrals, consults, admissions communications with referring providers; processing of New Patient Appointment referrals
Form
NewPatientAppointment — New Patient Appointment Form
Address
2401 Gillham Road, Kansas City, MO 64108

Before you send

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill the form with referrer and patient details; attach required documents (facesheet, clinic notes, labs, radiology images/reports, growth charts, insurance information) and submit via fax to the Contact Center.

Review official form instructions

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