Same Day Surgery Referral

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

Please note that Adobe Reader is required to view these forms.

Surgery Admission Form (H&P) Same-Day Surgery at Children's Mercy Hospital Same-Day Surgery at Children's Mercy South Surgery Scheduling Form

Copyright © 1995-2012 The Children's Mercy Hospital
Legal | Privacy and Terms of Use | Site Map

CMH Employees