Physician order forms for outpatient services When completed, please fax to scheduling at 350-3862. Order for outpatient laboratory services: Ascension Via Christi Hospitals in Wichita Ascension Via Christi St. Teresa Order for outpatient ancillary: Ascension Via Christi Hospitals in Wichita Ascension Via Christi St. Teresa Order for outpatient radiology: Ascension Via Christi Hospitals in Wichita Ascension Via Christi St. Teresa Outpatient Rehabilitation Scheduling
