Washington County Hospital and Family Medicine
Washington, Kansas

  • Home
  • About Us
    • Message from CEO
    • Our History
    • Board of Directors
  • Physicians
  • Services
  • Specialty Clinics
  • Price Transparency
  • Patients & Visitors
    • Online Bill Pay
    • Privacy Statement
    • Patient Forms
    • Patient Portal
  • Careers
  • FMWC

Patient Forms

Please click to download

Disclosure Authorization
Health Questionnaire
Patient Demographics
Payment Policy
Privacy Statement
Records release to FMWC
No Surprises Act Disclosure Form

About us

25 Bed Critical Access Hospital located in Washington Kansas.

Washington County Hospital and Family Medicine
Washington, Kansas

Pages

  • Home
  • About Us
    • Message from CEO
    • Our History
    • Board of Directors
  • Physicians
  • Services
  • Specialty Clinics
  • Price Transparency
  • Patients & Visitors
    • Online Bill Pay
    • Privacy Statement
    • Patient Forms
    • Patient Portal
  • Careers
  • FMWC

Follow us

  • Facebook

304 East Third Street

Washington, KS 66968, US

© 2025 Washington County Hospital

Sitemap