Provider Portal
Children's Mercy Hospitals and Clinics

To refer a patient to Children’s Mercy Hospitals and Clinics (CMH) Same Day Surgery, please use the forms below:

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pdf logo Surgery Admission Form (H&P)
Faxing Directions
  • Hospital Hill, Same Day Surgery: (816) 983-6631
  • Hospital Hill, GI Procedure Room: (816) 802-1254
  • Hospital Hill, Radiology (Sedation): (816) 802-1240
  • South, Same Day Surgery: (913) 696-8111
  • South, Radiology (Sedation): (913) 696-8198
pdf logo Same-Day Surgery at Children's Mercy Hospital brochure
pdf logo Same-Day Surgery at Children's Mercy South brochure
pdf logo Surgery Scheduling Form

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