We help you and your family heal.

Adult and Pediatric Illness Care

Brief office visit: One straight forward issue that requires only a short time in the office for evaluation and treatment recommendations. Examples include a “head cold” or other symptoms such as pink eye, sinus infection, sore throat, ear pain, bladder infection, rash, etc.

Regular office visit: One complicated issue that requires an office visit such as asthma or allergy management, headaches, sleeping problems, stomach pain, dehydration, etc. Patients who have several “mild” conditions would also fit into this category (i.e., rash plus a cough).

Extended office visit: Several issues and/or a single complicated issue requiring extended time and effort in the office. This office visit type would include a patient who might need to be referred to a specialist, or requires coordination of care and medical records review.  Complex medical issues would fall into this category.

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Lab Work and Testing

At New Kingdom Healthcare, we prioritize our patients by offering a “moderate complexity” laboratory that allows us to complete many laboratory services during your visit. Our clinic values partnerships with community providers and patients, and we make it a point to get to know your specific needs when scheduling tests. Our goal is to listen, make you feel safe, and get the right testing done.

We believe that getting to know our patients and their unique circumstances is crucial to providing high-quality care, and we strive to create a welcoming and supportive environment where our patients feel comfortable discussing their healthcare needs.

We understand that healthcare can be complex and overwhelming, and we are here to guide you through the process, answer any questions you may have, and ensure that you receive the care you deserve.

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Our Providers

Employment Application

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Are you over the age of 18?(Required)
Are you legally allowed to work in the U.S.?(Required)
Desired type of employment(Required)
Are you able to work weekends?(Required)
Highest level of education received(Required)
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Request Employment Verification

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Address Change

Change your address by filling out the form below:

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New Address

Personal Info and w-4 Upload

Company Holidays (Office Closed)

  • New Years Day
  • Easter
  • Memorial Day
  • Independence Day
  • Labor Day
  • Thanksgiving
  • Christmas Day

$250 Employee Healthcare Benefit

For information regarding your $250 EE healthcare benefit and how to use, please contact Emily Walters who will assist you through the process. ewalters@newkingdomhealthcare.com

W-4 Forms

If you need to download and print the W-4 forms, please click here to view and print.

https://www.irs.gov/pub/irs-pdf/fw4.pdf

https://www.revenue.state.mn.us/sites/default/files/2022-01/w-4mn.pdf

If you have filled out both your Federal and Minnesota W-4 form and are ready to submit, please attach the form now.

Update your W-4 by filling out the form below:

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InterPreter Request

Please Give Two Weeks Notice For Interpreter Request

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Date / Time the Interpreter is Needed

401K Enrollment Form

Please complete the employee sections of the enrollment form found at this link. Click here.

Once you have completed the form, please attach and submit for processing.  You will be notified once your account is setup.

Here are some things to keep in mind:

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Direct Deposit

Use this form to setup or update your Direct Deposit information. Contact Karissa at klucas@newkingdomhealthcare.com with any questions.

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Name of Financial Institution
Account Type
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Name of Financial Institution
Account 2 Type
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Submit W-4 Info

W-4 Forms

If you need to download and print the W-4 forms, please click here to view and print.

https://www.irs.gov/pub/irs-pdf/fw4.pdf

https://www.revenue.state.mn.us/sites/default/files/2022-01/w-4mn.pdf

If you have filled out both your Federal and Minnesota W-4 form and are ready to submit, please attach the form now.

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Payroll Setup Form

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Address

New Hire Request Form

Use this form to make a new hire request. If you have any questions, please contact klucas@newkingdomhealthcare.com.

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Legal

Please describe the situation and submit for Jeffrey to review. If you have questions, please contact Jeffrey at jplombon@newkingdomhealthcare.com

Patient Complaints

Please provide the following information and we will follow up on the complaint. If you have any questions, please contact Karissa Lucas at klucas@newkingdomhealthcare.com

Technical Support Ticket

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Issue / Request Type

Lab Supply Order

Please complete the following information to have your lab supply order processed. If you have any questions, please contact Shelly at skloos@newkingdomhealthcare.com

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Supply Order Request

Please use this form to place a supply order request. Contact Charlene at cwells@newkingdomhealthcare.com with any questions.

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Maintenance Request

Please provide the following information and Jeffrey will be in touch with you shortly regarding your request.

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Fill Out Your Records Request Below

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Name(Required)
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Fill Out Your Form Request Below

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Fill Out Your Billing Request Below

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