If you have questions about your statement, balance, due, payment amount, or questions about insurance, please contact our billing team who will be happy to help.
Change your address by filling out the form below:
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.
If you have filled out both your Federal and Minnesota W-4 form and are ready to submit, please attach the form now.
Payroll Setup Form
New Hire Request Form
Use this form to make a new hire request. If you have any questions, please contact klucas@newkingdomhealthcare.com.
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
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
Supply Order Request
Please use this form to place a supply order request. Contact Charlene at cwells@newkingdomhealthcare.com with any questions.
Maintenance Request
Please provide the following information and Jeffrey will be in touch with you shortly regarding your request.
Fill Out Your Records Request Below
Fill in all relevant info below and someone from our office will be in touch with you.
Fill Out Your Form Request Below
Fill in all relevant info below and someone from our office will be in touch with you.
Fill Out Your Billing Request Below
Fill in all relevant info below and someone from our office will be in touch with you.