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Patient Forms & Information This page contains the complete list of forms for Morris County Hospital. Professionals are available to assure confidential care of your medical records and proper certification of your hospital stay. New Patient Packet Click to download General Patient Forms Financial Assistance for 2026 Living Will Declaration Power of Attorney Direct Access Lab Form Info Release Authorization Care of Minors Authorization Kansas Voter Declination Income & Demographic Data Family Planning Forms Female Health History Birth Control Guide Breast Pump Questionnaire Postpartum Diet Questionnaire Info Exchange Authorization Birth Control Pill Consent Breast Pump Agreement Infant Diet Questionnaire Family Planning Consent Birth Control Patch Consent WIC Responsibilities Toddler Diet Questionnaire HIV Test Consent Birth Control Shot Consent Prenatal Diet Questionnaire Child Diet Questionnaire Immunization / Vaccine Information & Forms Child and Adult immunizations available. Call for appointment! 2023-24 School Requirements Vaccine Consent Form Health Worker Vaccine Visit the CDC's website for immunization information... CDC Immunizations MCH Privacy Policy Notice of Privacy

On this page... History Board of Directors MCH Foundation MCH Auxiliary About Us Morris County Hospital is a county‑owned, not-for‑profit, 21 bed critical access hospital located in historic Council Grove, Kansas. Personal, high tech care is available to all ages from the newborn to the elderly. We believe the support process is very important to the healing process and we encourage the patient and their family to be involved in decisions and care. Message from the Administration... Welcome to Morris County Hospital. We at Morris County Hospital are dedicated to providing quality healthcare, professionally and compassionately, with the latest in technology. As you navigate our web site you will learn about the quality care, highly trained and compassionate doctors, nurses, and other professional staff as well as the wide range of services that we offer. We are very proud to be recognized as one of the 32 top performing Critical Access Hospitals in the nation.There are 1,300 Critical Access Hospitals and we are ranked by the Centers for Medicare and Medicaid as one of the top 32 based on National performance benchmarks. Morris County and the surrounding areas are very fortunate to have as wide a range of healthcare services and highly qualified professional staff available locally. We thank you for trusting us to care for you and your loved ones. Kevin A. Leeper CEO, Morris County Hospital Our History In 1917 the first hospital of Morris County was established by Dr. Bert Elba Miller. It was called the Council Grove Hospital. It was an old house remolded with 10 patient rooms and staffed by Dr. B. E. Miller and two nurses, Bell Benson, RN and Gladys Stillman, RN. Over the years Doctors James Woodmansee and C.C. Kerr joined him in practice in the county Dr. William McCunniff, Dr. Roy Drake, Dr. Robert W. Blackburn & Dr. B.A. Yost. On the hospitals first board of trustees appointed by the County Commissioners were Frank Warnica, George Blythe, W.E. Hembrow, and R.E. Griffith. An architect was hired July 1947 to draw plans for a hospital on North Washington Street, Council Grove. A petition circulated requesting that the county take over the Dr. Miller Hospital. F. D. Ferguson was instrumental in this petition and presented it to the County Commissioners, on October 11, 1948. The Commissioners rejected the request but reversed the decision in December 1948. The county took over the operations of the Council Grove Hospital (Dr. Miller’s Hospital) in January 1949. After 8 years of planning the Hospital on the hill was started. The project was to cost $419,885. May 1953 the hospital received $167,954 in Federal Funding and $253,375 in county funding. The ground breaking was held on May 25, 1953. The building was dedicated August 22, 1954 and patients were moved from the (Miller Hospital) Council Grove Hospital to the Morris County Hospital. Additions were added in 1958, 1978, 1994, 2001, 2006, and 2011. With the addition of physicians, the space was running out. There were great changes in technology in health care since the 1960’s. Back then, nearly all hospitals were 100 percent inpatient services. Times had changed; 80-85% of patients were treated as outpatients in 2000. On March 15, 2001 Ground Breaking Ceremony of the Morris County Hospital Renovation/Expansion Project was held for the largest expansion project. The renovation project estimated at 6.3 mil. took three years. In 2007, the Morris County Hospital became a Critical Access Hospital. In February 2007 the Foundation held a Capital Campaign. The Campaign funds to be used to purchase the Electronic Medical Records System, CT Scanner, Mammography Machine, PACS system (Picture Archival Computer System) MRI and an addition to the Family Health Center to accommodate the physicians, patients and staff. Morris County Hospital continues to keep up with modern technology and provide services at our hospital so patients don’t have to travel great distance for care and therapy. Board of Directors Rita Noll Chairman Steve Morgan Vice Chairman Jessica Hemme Heather Honas Secretary Tom Moxley Marty Wright Treasurer Meeting Morris County Hospital Foundation The Morris County Hospital Foundation, a 501(c)(3) not-for-profit organization, was founded in 1987 by the Morris County Hospital Board. The goal of the Foundation is to raise funds for the support of Morris County Hospital and its programs in Morris County and the surrounding areas. Since the beginning, the Foundation has purchased or built three satellite clinics, providing services in Alta Vista, White City, and Cottonwood Falls. The foundation has raised money for the hospital including the latest Emergency Room Expansion/Renovation Project 2018. This project also included the OB Rooms, two ADA Rooms, Helipad Ambulance, and a Secure Room. The Foundation, with the help of local donors, recently purchases a 3D Mammography machine in 2024 for the Radiology department. MCH Foundation Mission Statement The Morris County Hospital Foundation is organized for the benefit of the Morris County Hospital. Learn More... Donation Form For more information on how to give a gift to the Morris County Hospital, contact the Executive Director, Stacy Zeigler. She would be happy to meet with you at your convenience to talk with you about these options for giving. You can reach her by email at szeigler@mrcohosp.com or call 620-767-6811, ext. 148. Morris County Hospital Auxiliary The Morris County Hospital Auxiliary was founded in 1986. The goal was to make positive supporting contributions to the hospital and the community by helping assist the staff in providing the best patient care possible. MCH Auxiliary Mission Statement The purpose of the Morris County Hospital Auxiliary shall be to act as an advocate for the Morris County Hospital. The Auxiliary shall assist the Hospital Staff in promoting the health and welfare of the community and shall engage in fund raising activities to benefit the Hospital. What kind of activities & projects does the Auxiliary sponsor? Pediatric Projects Every child who is a patient at Morris County Hospital receives a pediatric bag with a stuffed toy or color books and crayons. The toy choice depends on age appropriateness. Scholarships The Auxiliary awards two scholarships to Morris County students who are pursuing careers in a medically related field such as Nursing, Lab, Radiology, Physical Therapy, Etc. Scholarship applications can be picked up from an auxiliary member at Morris County Hospital. Education Each year, the Auxiliary along with the hospital staff choose an educational topic to present to the community. Fund Raisers The Auxiliary raises money in order to buy items needed by the hospital through fund raising events throughout the year: Gift Shop - all proceeds from the Gift Shop are used to fund hospital projects. Bake-less Sale - you may make a donation instead of baking. R.A.D.A Cutlery Sales Who can join the Auxillary? You may call the hospital information desk or contact any Auxiliary member and they can provide you with information. The dues are $5.00 a year (payable to Membership Chairman). For more information, or to become a member please call 620-767-6811.

MCH Medical Staff Our MCH staff is comprised of a team of individuals that care about your medical and health needs and goals. We pride ourselves on a collaborative workplace with a patients first philosophy, and utilize the latest education and technology to ensure our rural community has access to only the best of care. Because we care. ♥️ Active Medical Staff Lora A. Siegle MD, RHC Medical Director located at MCH Medical Clinic, Morris County Hospital Melanie S. Byram MD located at MCH Medical Clinic, Morris County Hospital, MCH Clinic Chase County Katie Walker APRN located at Morris County ED, Morris County Hospital, MCH Convenient Care Brett A. Siegle MD located at MCH Medical Clinic, Morris County Hospital Lisa C. Meyer DNP, APRN, FNP-C located at Morris County Hospital, Morris County ED, MCH Convenient Care, Morris County Health Department Carol Coirier PA-C located at MCH Clinic Chase County, Morris County Health Department Sydnee P. Nelson MD located at MCH Medical Clinic, Morris County Hospital, MCH Clinic Chase County, Morris County Health Department Haley Morgan FNP located at MCH Medical Clinic, MCH Clinic White City Deborah Benning PA-C located at MCH Medical Clinic, Morris County Hospital Rural Nursing is Our Specialty The nurses at Morris County Hospital pride themselves for being well-rounded health care providers. The hospital nurses are certified in: Basic Life Support, Acute Cardiac Life Support, Pediatric Advanced Life Support, and Neonatal Resuscitation. Every nurse employed at Morris County Hospital is competent in the Emergency Room, Obstetrics, and Medical-Surgical nursing. Every day the nurses are faced with new experiences to take their career and knowledge to an advanced level of care for patients. Consulting Medical Staff H.R. Boolani MD Cardiology Joel E. Hornung MD Family Practice Patricia Gutowski APRN Nephrology Michael G. Reynolds MD Ophthalmology Felipe Rosso MD Urology Chen H. Chow MD Cardiology Diane Hunt MD General Surgery E.M. Elamin MD Oncology Daniel Samani MD Orthopedics P. Ranaweera MD Cardiology F.V. Bedros MD Nephrology Claudia Perez-Tomayo MD Oncology Steve Short MD Pulmonologist Manhattan Radiology Staff All imaging services offered by Morris County Hospital Radiology are read by the board-certified radiologists of Manhattan Radiology. Kelly Ivester MD Radiology Curtis Mick MD Radiology Greg Welle MD Radiology Hannah Olson MD Radiology Matthew Gish MD Radiology Vern Huang MD Radiology Peterson Laboratory Services Staff Susan Speaks MD, Phd Pathologist David Jaskierny MD Pathologist Dionnee James MD Pathologist

On this page... Board of Directors Goals Contribute Committment Golf Benefit Morris County Hospital Foundation The Morris County Hospital Foundation, a 501(c)(3) not-for-profit organization, was founded in 1987 by the Morris County Hospital Board. The goal of the Foundation is to raise funds for the support of Morris County Hospital and its programs in Morris County and the surrounding areas. Since the beginning, the Foundation has purchased or built three satellite clinics, providing services in Alta Vista, White City, and Cottonwood Falls. The foundation has raised money for the hospital including the latest Emergency Room Expansion/Renovation Project 2018. This project also included the OB Rooms, two ADA Rooms, Helipad Ambulance, and a Secure Room. In 2023,The Foundation raised funds for a 3D Mammography machine that was purchased for the Radiology department. MCH Foundation Mission Statement The Morris County Hospital Foundation is organized for the benefit of the Morris County Hospital and it's Affiliates. The Foundation, in partnership with donors, seeks to meet both immediate- and long-range health care needs. Donation Form MCH Foundation Board of Directors Chad Tischhauser President Monica Simecka Marsha Tischhauser Treasurer Stacy Zeigler Executive Director Scott Bankes Sandy Bachura Dustin Manson Candace Boardman Secretary Becky Nurnberg MCH Foundation Goals To continue to develop and support the hospital’s outreach through the area clinics. To improve and maintain facilities. To purchase equipment. To develop new health care programs and provide educational materials. To establish and support community wellness and education programs. Your act of kindness will... Help maintain high quality health care in your hospital and area clinics. Increase the availability of vital medical services. Provide you the opportunity to make a major impact on the quality of life in your community. A gift to the Foundation will…. Save you money Because the Foundation is a charitable organization, it is qualified to receive tax deductible* contributions. Depending on your IRS tax bracket, a significant part of your gift may qualify for a direct tax deduction. A large gift may qualify as a tax deduction for up to 5 years. A bequest to the Foundation through your will is an excellent way to benefit others. By supporting health care in your community you can contribute to your community while reducing your tax burden. * Tax deductibility is subject to IRS regulations. Please see your tax advisor for applicabilit y. Donation Form Contribute to your community in a very special way The Morris County Hospital Foundation gives you ways to contribute to your community in a very special way. You can be assured that your donation will provide healthcare for generations to come. There are Tax Deductible* Ways to Support Healthcare Pledge A pledge over a period of years impacts and supports health care in a significant ongoing way. Cash Donation All cash donations throughout the year can be claimed as charitable contributions on your Federal Income Tax* Estate Planning Wills, Charitable Annuity, Charitable Trust, Land. Life Insurance The premium payment on a life insurance policy can be used as a tax deduction* when the Morris County Hospital Foundation is named the recipient of the policy. Memorials A Morris County Hospital Foundation Memorial is a gift to healthcare that keeps on giving. A memorial donation in lieu of flowers is an everlasting gift. The memorial program is a special way to say what is in your heart upon losing someone close to you. This unique service was created to help donors convey their sympathy to bereaved family members in a meaningful way. Upon receiving your donation in memory of a loved one, friend, or business associate, the foundation will send a letter to the family of the deceased notifying them of your gift. Your expression of concern will convey your thoughtfulness better than any other gesture could. Memorial gifts are tax deductible*. Your memorial donation can be directed to the area that means the most to you, either a specific unit or department, or to the area designated by the family of the deceased. You may be assured that your gift will help provide quality, compassionate health care for your family and friends for generations to come. * Tax deductibility is subject to IRS regulations. Please see your tax advisor for applicabilit y. Donation Form Commitment The strength of the Morris County Hospital is built on the commitment of our qualified physicians and staff. Family medicine is our focus and we are devoted to healing and serving the community. Medical services are available at the hospital and clinics. Our effort to reach out to surrounding communities has been a valuable resource. We are fortunate to have top quality staff and a progressive facility. This combination gives our area a cornerstone to be proud of. With your support we will be able to provide quality healthcare for generations to come. For more information on how to give a gift to the Morris County Hospital, contact the Executive Director, Stacy Zeigler. She would be happy to meet with you at your convenience to talk with you about these options for giving. You can reach her at... Morris County Hospital 600 N Washington Council Grove, KS 66846 (620) 767-6811, Ext. 148 * Tax deductibility is subject to IRS regulations. Please see your tax advisor for applicabilit y. 2024 Golf Tournament Gold Sponsors SPONSORS FOR THE MORRIS COUNTY HOSPITAL FOUNDATION 27th ANNUAL BENEFIT GOLF TOURNAMENT, August 15, 2024 The Gold Award Sponsors: Precision Anesthesia Mathis Rehab Centers, LLC/Doctors of Physical Therapy Steve and Nancy Morgan Travis LeMay, State Farm Agency Manhattan Radiology KBS Constructors, Inc. Stormont Vail Thank you to all of the sponsors, volunteers, and golfers who made the 27th Annual Golf Tournament Benefit a HUGE success! Donation Form For more information on how to give a gift to the Morris County Hospital, contact the Executive Director, Stacy Zeigler. She would be happy to meet with you at your convenience to talk with you about these options for giving. You can reach her by email at szeigler@mrcohosp.com or call 620-767-6811, ext. 148.

MCH Public Health Department MCH Public Health is committed to working in partnership with our community to prevent, promote, and protect the optimal health and well-being of all Morris and Chase County residents. We aim to provide the services necessary to give our residents the opportunity to enjoy good health in the beautiful Flint Hills of Kansas. Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Morris County Health Department 221 Hockaday Street, Council Grove 620-767-5175 Locations & Hours Morris County Council Grove 221 Hockaday Street Council Grove, KS 66846 Contact phone (620) 767-5175 emergency 911 fax (620) 767-6880 email webmaster@mrcohosp.com Office Hours Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 6:00 pm Closed Closed Closed Extended Hours (by appointment only) Chase County Cottonwood Falls 301 Walnut Street Cottonwood Falls, KS 66845 Contact phone (620) 273-6377 emergency 911 fax (620) 273-6593 email webmaster@mrcohosp.com Office Hours Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 6:00 pm Closed Closed Closed Extended Hours (by appointment only) Community Resource Guide Click Here Our Public Health Services WIC Nutrition Program WIC is a nutrition program that provides nutrition and health education, healthy food and other services to Kansas families who qualify. WIC’s goal is to help keep pregnant and breastfeeding women, new moms, and kids under age 5 healthy. Applicants must live in Kansas, meet income guidelines, and have an identified nutrition/medical risk factor. The WIC program provides personalized nutrition information and support, benefits to buy healthy food, and referrals for services that can benefit the whole family Immunizations Child & adult immunizations available. Family Planning The family planning program constitutes primary care for many of the clients served. A complete health history is taken on each client followed by a physical assessment, including Pap smear, urinalysis, screening for anemia, hypertension, and abnormal conditions of the breast and cervix as indicated. Pregnancy testing and appropriate counseling is available. Information regarding early and continuous prenatal care is provided if the pregnancy test and/or exam findings are positive for pregnancy. Morris County Health Department offers a variety of contraceptive methods including abstinence, condoms, oral contraceptive pills, IUDs, Nexplanon, and hormone injections. Instructions concerning effectiveness, proper use, indications/precautions, risks, benefits, possible minor side effects, and potential life threatening complications of contraceptive methods is provided. Screening and treatment for sexually transmitted diseases are a part of the initial and annual visits. Immunization status is routinely addressed. Services are offered by providers from MCH Medical Clinics with assistance from public health nurses. If problems are discovered during the course of the assessments which are beyond the scope of the clinics, appropriate referrals will be made by the health care provider. Clients are seen on an appointment basis to minimize waiting periods. Breastfeeding Education Morris County Health Department offers pregnant women, new mothers, and their families an opportunity to learn all they need to know about breastfeeding. A certified breastfeeding educator is available to help families prepare for the breastfeeding experience by providing information on how breastfeeding works, how to get started, and how to solve problems that may arise. Call 620-767-5175 for Breastfeeding Support. Child Passenger Safety Morris County Health Department offers car seat installation and education by a Certified Passenger Safety Technician. The car seat installation experience is an interactive one. As the caregiver, you should leave confident that your child’s seat is installed correctly AND that you are comfortable reinstalling and using it correctly. Pregnancy Testing MCHD offers HCG urine tests for quick pregnancy test results. Learn about early pregnancy symptoms, how pregnancy tests work and more. Laboratory Testing MCHD offers point-of-care testing based on availability of testing supplies. Tests offered include Influenza A/B, COVID19, and Strep A. STI Testing Confidential STI (sexually transmitted infection) testing for Chlamydia, Gonorrhea, HIV and Syphilis. Treatment and counseling available for those that test positive. Senior Services Case management by North Central Flint Hills Area Agency on Aging. Medicaid, Senior Care Act, & Older Americans Act provides personal care and homemaker services to people over 60. Services are supported by the Kansas Department on Aging. Private pay services are available as well. Lead Levels Testing A simple blood test can detect lead poisoning. A small blood sample is taken from a finger prick or from a vein. Nail Care Morris County Health Department offers regular nail cutting, trimming, and filing for those hard to cut or hard to reach toenails. Services are available for diabetics and those with circulatory problems. Environmental Health The role of environmental health is to oversee and insure that a community has clean water, proper removal and treatment of sewage, proper management of waste, and food protection. Disease control surveillance is preformed in conjunction with the Department of Health and Environment Water testing and waste water inspections by Geary County Health Department. For available services and fees, please contact Lisa Davies at (785) 762-5788 ext 132. MCH Public Health Leadership Sydnee P. Nelson MD Medical Director Jamie Johnson Director of Public Health Lisa C. Meyer DNP, APRN, FNP-C Morris County Health Officer Carol Coirier PA-C Chase County Health Officer See All All MCH Services

MCH Public Health Department MCH Public Health is committed to working in partnership with our community to prevent, promote, and protect the optimal health and well-being of all Morris and Chase County residents. We aim to provide the services necessary to give our residents the opportunity to enjoy good health in the beautiful Flint Hills of Kansas. MCH Radiology Department Hours Monday through Friday from 7:00am – 5:00pm Your scheduled start time will be dependent on the type of service you need. We are staffed on call 24 hours a day, 7 days a week for emergency needs. For more detailed information, review your service below or contact us 620-767-6811 ext. 121 Our Radiology Services CT Scan (Computed Tomography) Computed Tomography is a sophisticated form of x-ray imaging that provides pictures of the body in a series of slices. A CT scan shows clear images of bone, internal organs, muscles and blood vessels which allows doctors to distinguish between normal, diseased, or injured tissue. Learn More DEXA Scan (Bone Density) DEXA scans measure your bone density with a low dose of radiation, which is interpreted by sophisticated computer analysis. Your test results will assist your physician in determining whether you need treatment for bone loss. Learn More Diagnostic Radiology An x-ray image is produced when a small amount of radiation passes through the body. Your provider may order an x-ray to help diagnose an injury or disease in nearly any part of the body. Learn More Mammography This procedure uses very low doses of radiation to obtain images of the breasts, allowing doctors to detect small cancers even before they can be felt. Learn More MRI MRI provides excellent images without radiation exposure by using a super conductive electromagnet, radio waves and sophisticated computer software to generate and enhance images. The result is an unprecedented view of internal organs, body structure and systems which provide detailed images needed to make an accurate diagnosis. Learn More Nuclear Medicine Nuclear medicine comprises diagnostic examinations that result in images of body anatomy and function. The images are developed based on the detection of energy emitted from a radioactive substance given to the patient, either intravenously or by mouth. Generally, radiation to the patient is similar to that resulting from standard x-ray examinations. Learn More Ultrasound Ultrasound uses a hand-held probe to send high frequency sound waves into your body, then sophisticated software displays an image of the body’s interior by the rate at which the echoes return to the probe. Learn More We offer online sharing of your medical images using Nuance Powershare. This service allows us to share images with your provider in a secure and convenient way! All imaging will be sent to the physicians of Manhattan Radiology to be read and reported. Your ordering provider will have your report within 24 to 48 hours. Your provider should contact you with your results. All services require a written order from a physician in good standing and licensed to practice medicine in the State of Kansas. Manhattan Radiology Staff All imaging services offered by Morris County Hospital Radiology are read by the board-certified radiologists of Manhattan Radiology. Kelly Ivester MD Medical Degree: Mercer University School of Medicine 2000 Internship & Residency: Baptist Medical Center, Birmingham, AL 2005 Fellowship: Tulane University Hospital 2006 American Board of Radiology certified 2005 Started with Manhattan Radiology in 2006 Curtis Mick MD Medical Degree: University of Kansas School of Medicine 2010 Residency: University of Kansas Hospital, Kansas City KS 2015 American Board of Radiology certified 2016 Started with Manhattan Radiology in 2015 Greg Welle MD Medical Degree: University of Minnesota School of Medicine, Minneapolis, MN 1989 Internship & Residency: Madigan Army Medical Center, Tacoma, WA 1994 Military Service: Army (1989-1997) Previous experience: IACH 1994-1997 American Board of Radiology certified 1994 Started with Manhattan Radiology in 1996 Hannah Olson MD Medical Degree: University of Kansas School of Medicine 2019 Internship: UMKC School of Medicine, 2020 Residency: UMKC School of Medicine, 2024 Started with Manhattan Radiology in 2024 Matthew Gish MD Medical Degree: University of Kansas School of Medicine 2004 Internship: University of Tennessee 2005 Residency: Baptist Memorial Hospital, Memphis, TN 2009 American Board of Radiology certified 2009 Started with Manhattan Radiology in 2009 Vern Huang MD Medical Degree: University of Texas Medical Branch Galveston, 2020 Internship: University of Texas Medical Branch Galveston, 2021 Residency: University of Tennessee Graduate School of Medicine, 2025 Started with Manhattan Radiology in 2025 MANHATTAN RADIOLOGY CONTACT INFO Phone: 785-539-7641 Address: 1133 College Ave STE C143, Manhattan, KS 66502 Website: https://manhattanradiology.com/ MCH Radiology Staff Corky Messer Deanna Buttrey Teri Stuart Kirstin Friesen, RT, R, CT, ARRT, LRT Misty Burnett Emily Spittles Bailey Buttrey, RT, R, MR Theresa Handley, RT, R, CT Brian Weber, RDCS Jeremy Martin, CNMT Brian Phipps, CNMT Charles “Charlie” Helton, CCI, RVS Mark True, RVT, RDMS, RSC

On this page... MCH Clinic Chase County Chase County Health Department Cottonwood Falls, Kansas MCH Clinic Chase County We provide Family Practice, caring for the entire family. Address 411 Walnut Street Cottonwood Falls, KS 66845 Contact phone (620) 273-6131 emergency 911 fax (620) 273-6133 email webmaster@mrcohosp.com Office Hours Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 5:00 pm closed closed by appointment ONLY Chase County Clinic Providers Melanie S. Byram MD Carol Coirier PA-C Sydnee P. Nelson MD Chase County Health Department Services include... Immunizations, WIC Nutrition Program, Child Passenger Safety, Family Planning, Breastfeeding Education, Environmental Health, Senior Services, Nail Care, Testing Services and more. Address 301 Walnut Street Council Grove, KS 66846 Contact phone (620) 273-6377 emergency 911 fax (620) 767-6880 email webmaster@mrcohosp.com Office Hours Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 6:00 pm Closed Closed Closed Extended Hours (by appointment only) More Information MCH Public Health Leadership Sydnee P. Nelson MD Medical Director Lisa C. Meyer DNP, APRN, FNP-C Morris County Health Officer Carol Coirier PA-C Chase County Health Officer Jamie Johnson Director of Public Health

MCH Rehab Center Women’s Health Physical Therapy What is Women’s Health Physical Therapy? Women’s health physical therapy encompasses a variety of healthcare issues specific to women and the reproductive system. Morris County Hospital Rehab Center Women’s Health program focuses treatment on the specific needs of women in order to help them regain their well-being and active lives. How can physical therapy help? Gain control over your bladder Reduce the need for pads, special garments, incontinence medications, and possibly surgery Reduce pelvic pain Reduce abdominal separation after pregnancy Provide information on diet and nutrition When should you seek physical therapy? Incontinence... You have any amount of urinary leakage. Leakage is not normal, even after childbirth! You limit your social activities due to fear of leakage You are wearing pads and/or changing clothing due to leakage You urinate frequently (less than every 2-4 hours or greater than 10 times a day) You wake up more than 2 times during the night to urinate Pre/Post Partum... You notice abdominal separation or bulging with activities such as getting in/out of bed You have back pain with pregnancy Intercourse is painful Pelvic Pain... Intercourse is painful Gynecological exams are painful What women's health services does MCH Rehab Center offer? Pelvic Floor Disorders... Incontinence Pelvic pain Painful intercourse Pelvic Organ Prolapse Pre/Post Partum... Pain with pregnancy (back, pelvic, sacroiliac) Diastasis rectus abdominus Painful intercourse Our therapists will... Evaluate your specific symptoms with an internal pelvic exam Develop an individualized treatment program to fit your specific needs Treatment may include... Strengthening of the pelvic floor muscles through exercise Relaxation techniques Internal and/or external electrical stimulation Manual techniques for muscle relaxation Manual techniques for pelvic floor activation Core strengthening Positioning for breastfeeding Lower extremity strengthening Exercises with your infant for mommy and me PT Does insurance cover Women’s Health Physical Therapy? Most insurance plans will cover women's health physical therapy, but it is important to check your insurance plan to determine copays or other requirements. OUR COMMITMENT TO YOU The goal of the Morris County Hospital Rehab Center is to provide quality care with an emphasis toward individual, personalized service. Rest assured, our highly trained staff is constantly learning, applying, and practicing the most modern and successful methods in the physical, occupational, and speech therapy fields. Your return to good health is our common goal. MCH Rehab Center Phone: 620.767.6811 Address: 600 North Washington Street, Council Grove, KS 66846 Return to MCH Rehab Ce nter Return to All MCH Services

MCH Rehab Center Aquatic Therapy What is Aquatic Therapy? Experienced therapists are waiting to help in a state-of-the-art facility featuring an underwater camera system, assisted entrance and exit, a temperature-controlled environment, a removable floor for depth control, and water currents with variable speeds. Aquatic therapy is often used in conjunction with traditional land-based therapy to enhance and restore a person's functional abilities. Populations that may benefit range from children to older adults. Oftentimes, patients may regain their quality of life faster and more thoroughly than with land therapy alone. How does aquatic therapy promote healing? Buoyancy The buoyancy of water provides support, allowing a patient to move more easily. This can reduce apprehension about movement. Heat Aquatic therapy is provided in a heated pool with temperatures ranging from 92-94 degrees. Exercising in warm water increases blood flow and oxygen delivery to the injury, which promotes healing. Hydrostatic Pressure Pressure from water molecules surrounding the body helps circulate blood from the legs to the heart, often reducing swelling in the ankles and feet. Resistance Water resistance improves balance and strength in all muscle directions, as well as increasing sensory awareness. Resistance can be tailored to each individual patient based on the speed of movement. Benefits of Aquatic Therapy... Accelerate healing Decrease apprehension to movement Initiate rehab at an earlier stage; therefore returning to activities of daily living in the shortest possible time Decrease rehabilitation time and overall treatment costs Enhance exercise and create a safe environment for progressive rehabilitation Improve tolerance to weight-bearing activity Goals of Aquatic Therapy... Improve confidence during daily functional activities Improve cardiovascular function and endurance Improve muscle strength Reduce stress Increase range of motion and flexibility Improve balance and coordination Who can be helped with Aquatic Therapy? Aquatic therapy is beneficial to patients of all ages. Common diagnoses that can be improved with aquatic therapy include, but are not limited to: Low Back Pain Joint & Muscle Pain Orthopedic Injuries Sporting Injuries Work-Related Injuries Post-Operative Hips, Ankles & Shoulders Osteoarthritis Impaired Balance Difficulty Walking Generalized Weakness Multiple Sclerosis Stroke Fibromyalgia Spinal Cord Injuries Cerebral Palsy Autism/Asperger's Disease Developmental Delay Parkinson's Disease Traumatic Brain Injuries OUR COMMITMENT TO YOU The goal of the Morris County Hospital Rehab Center is to provide quality care with an emphasis on individual, personalized service. Rest assured, our highly trained staff is constantly learning, applying, and practicing the most modern and successful methods in the physical, occupational, and speech therapy fields. Your return to good health is our common goal. MCH Rehab Center Phone: 620.767.6811 Address: 600 North Washington Street, Council Grove, KS 66846 Return to MCH Rehab Ce nter Return to All MCH Services

MCH Rehab Center Speech Therapy What is Speech Therapy? Speech Therapy is so much more than just “talking.” Speech Therapy is an extensive field that can benefit all ages, from birth to adult. Speech Therapy addresses cognition (memory, orientation, sequencing, executive functioning, medication management), speech-language disorders (adult and children), voice disorders, and swallowing difficulties. Swallowing Often times when people have some type of swallowing difficulty they think they just have to "deal with it," which is not the case at all. Some people are more affected than others, and some have circumstances that can affect their swallowing, such as a stroke, illness/ disease, surgery, oral/laryngeal cancer, etc. Common symptoms of swallowing problems are (including, but not limited to): coughing, clearing throat after bites or drinks, feeling as if food gets "stuck," recurring pneumonia, and a change in one's voice after swallowing. Speech therapists can be helpful in identifying what muscles may be affected and work with the patient on exercises and strategies to address the weakness/problem. Cognition Speech therapists can address many cognitive deficits that may be associated with post-surgery confusion, dementia, and an overall decrease in cognition with illness or age. Speech therapy can help improve orientation, medication management, finance management, sequencing, short-term memory, and safety awareness. Language Disorders Language disorders can be either receptive or expressive... Receptive disorders refer to difficulties in understanding or processing language. Expressive disorders include difficulty putting words together, limited vocabulary, or inability to use language in a socially appropriate way. Speech disorders include the following problems, according to the American Speech-Language-Hearing Association: Articulation Disorders Include difficulties producing sounds in syllables or saying words incorrectly to the point that other people can't understand what's being said. Fluency Disorders Include problems such as stuttering, the condition in which the flow of speech is interrupted by abnormal stoppages, repetitions (st-st-stuttering), or prolonging sounds and syllables (ssssstuttering) Resonance & Voice Disorders Include problems with pitch, volume, or quality of the voice that distracts listeners from what's being said. Changes in voice can be attributed to paralyzed vocal folds, oral/laryngeal cancer, Parkinson's disease, or increased muscle tension in laryngeal musculature. Voice therapy can also be beneficial with pediatric patients in cases of vocal abuse. For example, a child who may have a hoarse voice due to increased yelling (during play, sports, cheering, etc.) Specialty speech treatments offered at MCH Rehab Center: LSVT Loud LSVT Loud is a treatment for patients with Parkinson's disease and other neurological conditions to improve vocal loudness. The treatment has been shown to improve respiratory, laryngeal, and articulatory function, as well as maximize a patient's speech intelligibility. Vital Stim Therapy Vital stim therapy is a safe and effective treatment for patients suffering from difficulty swallowing. It is a non-invasive, external electrical stimulation therapy cleared to market by the Food and Drug Administration in 2002 for the treatment of swallowing disorders with application on the anterior neck. It has been shown to accelerate recovery time, as well as help patients achieve sustained improvement and long-term results with improvements to swallow function. Myofa scial Release Myofascial release addresses the specific patient populations of head/neck cancer, treatment of fibrosis, dysphagia, various dysphonias, and trismus/TMJ disorders. What we treat at MCH Rehab Center: Adults Swallowing difficulties Stroke rehabilitation Traumatic brain injury Voice disorders Altered mental status post surgery Overall cognitive decline Children Therapy should begin as soon as possible. Children enrolled in therapy early in their development, younger than 3 years old, tend to have better outcomes than those who begin therapy later. This does not mean that older kids can't make progress in therapy; they may progress at a slower rate because they often have learned patterns that need to be changed. Cleft lip palate Language delays Speech sound/articulation delays Stuttering/fluency disorders Developmental delays Motor planning issues (apraxia of speech) Voice disorders (ex: vocal abuse) The goal of the Morris County Hospital Rehab Center is to provide quality care with an emphasis on individual, personalized service. Rest assured, our highly trained staff is constantly learning, applying, and practicing the most modern and successful methods in the physical, occupational, and speech therapy fields. Your return to good health is our common goal. MCH Rehab Center Phone: 620.767.6811 Address: 600 North Washington Street, Council Grove, KS 66846 Return to MCH Rehab Ce nter Return to All MCH Services

On this page... Insurance Motor Accidents Workers Comp Standard Charges Billing Info Billing & Payment Information Pay Bill Here Click button to the left to get started. AblePay Health Program is a way that our patients can save up to 13% on their out-of-pocket medical expenses (deductibles and coinsurance). As a member, you have flexible payment options on every bill and the full support of AblePay’s billing experts if you have a question. The program is NO-COST and works with any primary health insurance, including Medicare. You can also include family members on your AblePay account. AblePay Customer Service Phone : 484-292-4000 AblePay Customer Service Email : support@ablepayhealth.com Please feel free to contact us at 620-767-6811, ext 325 with questions. We accept payments by mail, phone, or in person as well. Quick Pay Payment Solution Pay Bill Here The link below provides another option for our patients to make online payments for their accounts here at MCH. Please follow the prompts as they will guide you through the process. Should you have any questions or issues with this payment solution please contact our office at 620-767-6811, extension 325. Paying for Your Care Thank you for choosing Morris County Hospital, we are pleased that you and your physician have chosen us to help with your medical needs. This information has been compiled to help assist you in understanding the process and responsibilities of billing for services and care while you or your loved ones have been here. Please be advised that in addition to a bill for our services, you may also receive a bill for other professional services while a patient here (i.e. from your physician, or consulting physicians, radiologist, etc.) Questions? Our Patient Accounts staff will be happy to respond to questions about your bill, insurance correspondence, or payments. To reach us call 620-767-6811, Monday through Friday from 7 am to 5 pm. Payment Arrangments If you need to make arrangements to pay your bill or help with securing a loan from a local bank, please contact our Patient Accounts individual at 620-767-6811 ext 325. Financial Assistance Morris County Hospital offers a Financial Assistance Program that provides medical care free for patients who qualify based upon income guidelines. For assistance please contact either Patient Accounts at 620-767-6811 ext 325. Application for Financial Assistance Insurance Insurance Requirements Before hospitalization or use of outpatient services, you are responsible for meeting any special requirements of your insurance plan, such as prior approval, referrals, pre-certification, or obtaining a second opinion. If you have insurance that requires you to contact your Primary Care Physician prior to going to the emergency room, you are responsible for calling your physician for approval. Most insurance plans have special steps which must be followed unless you are seeking treatment for a life-threatening condition. Referral forms must be submitted to your insurance company by your physician. In most cases, the hospital is not allowed to provide referral forms. Insurance plans are quite different and you need to know your plan requirements. If they are not met, your benefits can be greatly reduced or denied by your insurance company. For questions on the above issues, please consult your insurance company, or our Admissions Department at 620-767-6811 ext. 325. Insurance Filing Morris County Hospital will file your insurance claim for you. Because of special requirements by insurance companies and frequent changes in the requirements, it is necessary for us to have a copy of your current insurance card. When we file your insurance, we will send you a summary of the charges being filed, if you require an itemized bill, please contact us. We will ask your insurance company to send payment directly to the Morris County Hospital, allowing your insurance company time to process and pay your bill. If payment has not been received within six weeks of the filing date, you will be billed for the unpaid balance. Motor Vehicle Accidents If you sustain an injury associated with a motor vehicle accident you must provide Morris County Hospital with information on your motor vehicle insurance carrier. Please notify our billing department when a claim number has been assigned. You must report your injury to your own motor vehicle insurance carrier. Kansas law requires claims related to injuries occurring as a result of ownership, operation, maintenance, or use of a motor vehicle to be filed with a motor vehicle insurance. Any claim for an injury arising from contact with a motor vehicle, even if the vehicle is not moving, must first be filed with your motor vehicle insurance. Most health insurance plans will not consider the claim until it has been filed with the motor vehicle insurance. Worker’s Compensation Injuries If you believe you have a work-related injury, you are required to provide Morris County Hospital with the name and address of your employer. You must report the accident to your employer within 24 hours. Failure to do so may result in loss of benefits. Health insurance plans generally will not pay claims determined to be work related. Morris County Hospital Standard Charges To improve price transparency, all U.S. hospitals and health systems are required to provide lists of standard hospital charges ― also called a chargemaster ― so patients can compare prices across hospitals. Here are a few considerations to keep in mind as you view the list of standard charges (chargemaster). These charges are rarely the price that patients pay. The chargemaster lists the dollar amount set for each service prior to insurance contract/benefit plan discounts or self-pay discounts being applied, so the price patients pay tends to be less than the standard charge. Hospital charges differ from patient to patient for the same service depending upon variations in treatment. Patients who are eligible for financial assistance also receive additional discounts. Items included in a charge vary across hospital systems. For example, what’s included in one hospital’s charge for room and board may differ from another hospital’s charge ― some hospitals bundle services together into a single charge that others may list separately. Looking at various hospital charges does not provide any indication of quality of service and outcomes. Price Transparency Tool & Information Video Instructions to use the Price Transparency Solution For the most accurate estimate of the cost of care, patients can contact Morris County Hospital at costestimate@mrcohosp.com or call 620-767-6811 for assistance in understanding the charges and related costs for a procedure or visit. Kevin Leeper, CEO 620-767-6811, Extension 146 Ron Christenson, CFO 620-767-6811, Extension 120 Billing Information Morris County Hospital strives to serve you in an effective and efficient manner. We realize that financial concerns can add to the stress of any medical need. This information is supplied to assist you in settling your accounts. Office Hours: 7:00 am to 5:00 pm Monday through Friday Medical Bill Rights A summary statement of your account is mailed every four weeks. An itemized bill is available upon request. After all insurances have paid on the accounts, payment in full is requested. Payments on accounts can be made via cash, personal checks, or by money orders. For your convenience MasterCard, Visa, and Discover Card are also accepted. MCH is now offering online bill payments as well. Your account statements will indicate how to process those payment options. For self pay patients (those without any insurance coverage) we offer a 15% discount for payment in full upon receipt of the first statement. If you are not able to pay the balance of your account in full upon receipt of your first statement, please contact Patient Accounts at 620-767-6811 and ask for extension 325. For those individuals that qualify, Morris County Hospital has a Financial Assistance Policy to help patients that do not have the resources to pay for the healthcare services that they have received. Please contact Patient Accounts if you want to learn more about this policy. (Click here for Income guidelines and application for assistance. ) Should you believe that your insurance company has not paid in accordance with your health plan policy, please contact your insurance company before calling Morris County Hospital. Further Billing Questions? Call (620) 767-6811 Ext. 325 Monday - Friday 8:00 am - 4:30pm for Medicare, Blue Cross, and Medicaid All other insurance, including auto accidents and workers compensation or Private-pay accounts or to set up a payment plan on a current account

Careers at MCH New challenges and opportunities to learn are what allow great careers to thrive. Join our family and you’ll experience it firsthand — alongside expert caregivers in a culture that provides you the support you need. Together, we can deliver the world-class care our patients expect. Browse some of our key career areas below and explore how we support you in the things that really matter. MCH is an equal opportunity employer valuing the diversity and inherent dignity of all job seekers. We do not discriminate based upon race, color, religion, age, sex (including pregnancy), sexual orientation, national origin, ancestry, disability, veteran status, genetic information, gender identity, or any other applicable legally protected status. MCH is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our application process. If you need assistance or an accommodation due to a disability, please contact us by sending an email to webmaster@mrcohosp.com