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Patient Portal

Forms

General Forms

New Patient Forms

New Patient Forms (SPANISH)

Miscellaneous Forms

  • Kansas State High School Activity Association Participation Form

    • Please place parent / guardian signature on form prior to our review

  • Family and Medical Leave Form

  • Release of Information

 
  

External Resources

Building a Foundation for Healthy, Active Living

Discipline and Your Child

Temper Tantrums

Divorce and Children

How to Handle Anger

Learning Disabilities

Parenting Anxious Children

Single Parenting

Dealing with a Traumatic Event

Preparing your family for a new child

 

 

 

Specific Health Screening Forms

Depression

  • PHQ-9 Form

 

Attention Deficit Hyperactivity Disorder (ADHD)

  • Vanderbilt Assessment Parent – Initial

  • Vanderbilt Assessment Teacher – Initial

  • Vanderbilt Assessment Parent – Follow Up

  • Vanderbilt Assessment Teacher – Follow Up

  • Vanderbilt Assessment Parent – Initial (SPANISH)
  • Vanderbilt Assessment Parent – Follow Up (SPANISH) 

 

Anxiety

  • GAD-7 Anxiety  
  • SCARED Form – Parent Version

  • SCARED Form – Child Version

  • SCARED Form – Parent Version (SPANISH)
  • SCARED Form – Child Version (SPANISH)

 

Autism

  • MCHAT-R Form

 

Postpartum Depression Screening

  • EPDS Form

 
 

 

Referral Documents (Nurse Use Only)

CCHD Referral Form

Locations

Heartland Community Health Center

(785) 841 - 7297

FAX: (785) 856-0375

1312 W. 6th Street
Lawrence, KS 66044

 

CLINIC HOURS

Monday – Thursday
8:00AM – 7:00PM

Friday
8:00AM – 5:00PM

Bluestem Wellness

(785) 841 - 7297

534 Michigan 
Lawrence, KS 66044

CLINIC HOURS

Monday – Wednesday
8:00AM – 6:00PM

Thursday – Friday
8:00AM – 5:00PM

Heartland
Panda Pediatrics

(785) 842 - 4477

FAX: (785) 842-7433

1803 W 6th Street
Lawrence, KS 66044

 

CLINIC HOURS

Monday – Thursday
8:00AM – 5:30PM

Friday
8:00AM – 5:00PM

Saturday
8:00AM – Noon 

Panda Pediatrics
Walk-In Clinic

1803 W 6th St.,
Lawrence, KS 66044
 

CLINIC HOURS

Monday – Friday
8:00AM – 10:00AM

 

 

River City
Pharmacy

(785) 856 - 3210

FAX: (785) 856-3620

1312 W. 6th Street
Lawrence, KS 66044

 

PHARMACY HOURS

Monday – Thursday

8:00AM – 7:00PM

7:00PM – 7:30PM (Drive-Thru Only)

Friday

8:00AM – 5:00PM

5:00PM – 5:30PM (Drive-Thru Only)

Saturday

8:00AM – 12:30PM (Drive-Thru Only)

2026 Holidays

ALL HEARTLAND CLINICS WILL BE CLOSED ON THE FOLLOWING DATES:

Thursday, January 1st
Monday, January 19th
Monday, May 25th
Friday, July 3rd
Monday, September 7th
Thursday, November 26th
Friday, November 27th
Thursday, December 24th
Friday, December 25th

Make an appointment

785-841-7297

FOR EMERGENCIES DIAL 911

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QUICK LINKS

  • Services
    • Primary Care
    • Mental Health
      • Psychiatry
      • Therapy
    • Dental
    • Panda Pediatrics
      • Primary Care
      • Dental
      • Mental Health
      • Medical Resources
    • River City Pharmacy
  • About
    • Our Mission
    • Our Team
    • Programs
    • Contact Us
  • Patient Resources
    • Patient Information
      • New Patient Forms
    • News & Events
    • Community Resources
  • Careers
  • Donate
    • Annual Report 2024

ON-CALL SERVICE

To reach Heartland’s on-call service outside of business hours or during clinic closures and holidays, please dial 785-841-7297.

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NOTICE TO PATIENTS:
This practice serves all patients regardless of ability to pay. Discounts for essential services are offered based on family size and income. For more information, ask at the front desk or visit our website. Thank you.
 

©2026 Heartland Community Health Center 

This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals. For more information, see http://www.bphc.hrsa.gov/ftca/.

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