How to Refer to Us

At Associated Audiologists, we work with a large network of referring physicians and primary care providers in the greater Kansas City, Leavenworth, and Manhattan communities. Currently, Medicare beneficiaries must obtain a physician referral prior to seeing an audiologist in order to have those services reimbursed by Medicare. To assist with your referral, please download and complete the Patient Referral Form below and fax to the appropriate office.

Orders should read as follows based upon the service being requested:

Diagnostic hearing evaluation to determine hearing loss and/or site of lesion
OR
Diagnostic hearing evaluation for sudden hearing loss
OR
Evaluation and treatment of dizziness/vertigo/imbalance
OR
Evaluation middle ear pathology
OR
Evaluation and management of tinnitus
OR
Rule out retro-cochlear pathology

Patient Referral Form

Please complete the Patient Referral Form and fax to the appropriate number.

Fax Orders for Your Patients

Vestibular Orders should be faxed to 816-216-6132.

Tinnitus Orders should be faxed to 913-432-3619.

Hearing Evaluation Orders should be faxed to the specific clinic location the patient requests:

Overland Park 913-498-1052

Shawnee Mission 913-432-3619

Prairie Village 913-262-5869

Kansas City 816-216-6132

Leavenworth 913-682-1775

Manhattan 785-539-8529

Eastern Jackson County E-Fax 913-273-4979

To request more information, please call 855-547-8745.

Providers for Our Seven Offices Include:

Leavenworth Provider – Cushing Medical Plaza

Cushing Medical Plaza
1001 W. Sixth Ave., Suite 105, Leavenworth, KS 66048
Phone: 913-682-1870
Fax: 913-682-1775

David Paul, Au.D., Audiologist

Manhattan Provider –  Manhattan Medical Center

Manhattan Medical Center
1133 College Ave., Suite 101A Manhattan, KS 66502
Phone: 785-539-7361
Fax: 785-539-8529

Sarah Schotte, Au.D. – Audiologist

Northland Providers – Embassy Park Professional Building

Embassy Park Professional Building
8350 N. St. Clair Ave., Suite 175, Kansas City, MO 64151
Phone: 816-442-7831
Fax: 816-216-6132

Danielle Dorner, Au.D. – Vestibular Audiologist
Katie Petrosky, Au.D., Audiologist
Jonathan York, Au.D., Audiologist

Overland Park Providers – Southridge Medical Building

Southridge Medical Building
12541 Foster, Suite 220, Overland Park, KS
Phone: 913-498-2827
Fax: 913-498-1052

Timothy Steele, Ph.D. – President and CEO
Stacey M. Baldwin, Au.D. – Senior Audiologist and Clinical Services Director
Dana Jacobson, Au.D. – Senior Audiologist and Overland Park Clinic Manager
Linda Erickson, Au.D. – Senior Audiologist
Sarah Mediavilla, Au.D. – Audiologist
Travis Hopkins Williams, Au.D. – Audiologist
Danielle Dorner, Au.D. – Vestibular Audiologist

Prairie Village Providers – Prairie Village Office Center

Prairie Village Office Center
7301 Mission Road, Suite 140, Prairie Village, KS 66208
Phone: 913-262-5855
Fax: 913-262-5869

David Nissen, Au.D. – Senior Audiologist and Prairie Village Clinic Manager
Timothy Steele, Ph.D. – President and CEO
Linda Erickson, Au.D. – Senior Audiologist
Sarah Mediavilla, Au.D. – Audiologist

Shawnee Mission Providers – Antioch Hills Medical Building

AdventHealth Campus (formerly Shawnee Mission Medical Center)
8800 W. 75th Street, Suite 101, Shawnee Mission, KS 66204
Phone: 913-403-0018
Fax: 913-432-3619

Susan Smittkamp, Au.D., Ph.D., Audiologist and Tinnitus and Sound Sensitivity Specialist, and Shawnee Mission Clinic Manager
Lisa Battani, Au.D., Audiologist and Hearing Aid Program Director

Eastern Jackson County Providers – Cliffview Professional Building

4721 S. Cliff Ave., Suite 201
Independence, MO 64055
Phone: 816-642-2626
E-Fax: 913-273-4979

David Nissen, Au.D. – Senior Audiologist and Prairie Village Clinic Manager
Travis Hopkins Williams, Au.D. – Audiologist