For physicians
Physician relations and outreach
The provider relations and outreach department is a valuable resource for facilitating communication between Wesley and healthcare providers throughout the state. The department's staff members work with Wesley's administrators, medical staff office and continuing medical education department to coordinate a wide range of services for providers and their staff members.
Our mission:
- Ensure seamless access to the complete range of Wesley Healthcare services
- Actively introduce new providers and specialists to the healthcare community
- Keep you updated about our latest service developments
- Promptly address any issues that may impact provider and patient satisfaction
- Serve as a bridge between healthcare professionals in the community and our institution
- Foster a continuum of care for the mutual benefit of healthcare providers and patients
Please reach out to a member of our team with any questions or concerns:
- Kaleigh Porchia, Associate Vice President
(316) 200-3982 or Email Kaleigh - Chris Short, Director/Surgical Specialist
(316) 962-2178 or Email Christopher - Todd Stranghoner, Outreach Director (Northern Kansas)
(316) 253-6376 or Email Todd - Justin Vonderhaar, Outreach Director (Southern Kansas, Northern Oklahoma)
(641) 777-1794 or Email Justin
Medical staff officers
President – Kurt Kauffman, MD
Vice President – Kristin Myers, MD
Secretary/Treasurer – Stephen Hinkin, MD
Immediate past President – David Hartig, DO
Medical staff services
Chief Medical Officer – Lowell Ebersole, DO
Executive Assistant to Chief Medical Officer – Linda Taylor Shannon
Director – Cindy Noland, CPCS
Medical Staff Coordinator – Deann Willett
Medical Staff Coordinator – Joanna Persyn
To request an application for medical staff or allied health professional staff status, please contact the Medical Staff Office at (316) 962-2025.
Imaging order forms
Thank you for choosing Wesley for your patient's imaging exams. We have streamlined our ordering process and invite you to print order forms to assist in providing accurate patient information.
Please select the proper PDF form, print it, and complete it. Fax the form, along with the patient's current medication list, recent lab values (if done within 30 days), pertinent medical reports and other helpful information. If you choose to hand-write the information, please use a bold black pen.
Please note the patient name at the top of each sheet.
Fax completed forms to (833) 965-0104.
We look forward to working with you to enhance the patient experience and ensure the best possible outcomes.
- Diagnostic Imaging
- Lung Cancer Screening Assessment and Order Form
- Nuclear Medicine Imaging
- Outpatient Breast Imaging
- Outpatient CT Imaging
- Outpatient MRI Imaging
- Ultrasound Imaging
- Vascular/Interventional Imaging
These forms require Adobe Reader. If you do not have Adobe Reader, you may download it free here.
Surgery scheduling forms
Thank you for your interest in our surgery scheduling forms. It is our goal at Wesley to make the surgery scheduling process as easy for you as possible.
We have created a form which contains all the information needed to schedule your patients for surgery without receiving multiple calls from different departments for additional information. The form is in PDF format. You can type the information on the form, print it out, and fax it along with a copy of the patient's insurance card and personal identification. Histories and physicals or any additional forms can be included.
We have eliminated the need to fax to multiple locations. Please fax only to (316) 962-3018.
Some offices already have their own forms. Those will be fine to use, as long as all the necessary information is included on the form, and the Surgeon has signed the orders. Sometimes handwriting is difficult to read, especially after the form has been sent through the fax, so please keep this in mind. Please include the patient's name on the top of each page you send.
- Medicare Order Form – 2 Midnight Rule
- H10173 Total Knee Medical Necessity Checklist
- Operating Room Case Scheduling Form
These forms require Adobe Reader. If you do not have Adobe Reader, you may download it free here.