Fitzgibbon Has Walk-In and/or Same Day Appointments for Primary Care

November 05, 2025

One of the challenges that exists in making sure your family’s health is a priority is knowing when to head to the Emergency Room and when to see your primary care physician.  Fortunately, Fitzgibbon Hospital has been able to implement either walk-in clinics or same-day appointments in all of their primary care sites to help families with patients who need to be seen on an urgent basis.  All Fitzgibbon-affiliated family practice clinics have walk-in availability weekly, Monday through Friday, with the exception of Mid-Missouri Family Health which does not offer walk-ins.  However, they do administer influenza vaccines by appointment.

Additionally, Fitzgibbon Family Health in Fayette has Monday through Thursday walk-in availability and Friday availability every other week when Lorenzo Romney, DO is on site. Its advisable to call ahead to confirm provider availability at (660) 248-2900.  

According to Medline Plus, a medical encyclopedia maintained by the National Institute of Health’s Library of Medicine, below is a good guide for when to use the emergency room, or utilize your local primary care clinic.

Whenever an illness or injury occurs, you need to decide how serious it is and how soon to get medical care. This will help you choose whether it is best to:

• Call or contact your Fitzgibbon health care provider or simply walk in to one of several Fitzgibbon primary care clinics serving our area.
• OR go to an emergency department right away

When to go to the ER or call 911

How quickly do you need care? If a person or unborn baby could die or be permanently disabled, it is an emergency. Medline Plus recommends calling 911 to have the emergency team come to you right away if you or someone with you cannot wait, such as for:

• Choking
• Stopped breathing or sudden trouble with breathing
• Head injury with passing out, fainting or confusion
• Injury to neck or spine, particularly if there is loss of feeling or inability to move
• Electric shock or lightning strike
• Severe burn
• Severe chest pain or pressure
• Severe shortness of breath
• Seizures, especially one that lasted more than 1 minute or from which the person does not rapidly awaken
• Suddenly not able to speak, see, walk or move
• Suddenly weak or drooping on one side of the body

• Passing out, fainting
• Pain in the arm or jaw
• Unusual or bad headache, particularly if it started suddenly
• Dizziness or weakness that does not go away
• Inhaled smoke or poisonous fumes
• Sudden confusion
• Heavy bleeding or a deep wound
• Possible broken bone, loss of movement, particularly if the bone is pushing through the skin
• Coughing or throwing up blood
• Severe pain anywhere in the body
• Severe allergic reaction with trouble breathing, swelling, hives
• High fever with headache and stiff neck
• High fever that does not get better with medicine
• Throwing up or experiencing loose stools that do not stop
• Poisoning or overdose of medicine, illegal drug or alcohol
• Any other condition you or someone you care for believes to be life-threatening

If you are thinking about hurting yourself or others, call or text 988 or chat 988lifeline.org. You can also call 1-800-273-8255 (1-800-273-TALK). The 988 Suicide and Crisis Lifeline provides free and confidential support 24/7, anytime day or night. You can also call 911 or the local emergency number or go to the hospital emergency room. DO NOT delay. If someone you know has attempted suicide, call 911 or the local emergency number right away. DO NOT leave the person alone, even after you have called for help.

When to contact your Fitzgibbon primary care clinic or walk in at one of their many locations

When you or someone you care for has a problem and you do not want to wait too long to get medical care. If your problem is not life-threatening or may risk disability, but you are concerned and you cannot see your provider soon enough, walk in to one of several Fitzgibbon primary care clinics.

The kinds of problems our clinics can deal with include:

• Common mild illnesses such as colds, the flu, earaches, sore throats, cough, migraines, low-grade fevers and limited rashes
• Minor injuries, such as sprains, back pain, minor cuts and burns, possible minor broken bones or minor eye injuries.

If you are not sure what to do, and you don't have one of the serious conditions listed above, call your provider. If the office is not open, your phone call may be forwarded to a nurse or other provider who is on call for the clinic. Describe your symptoms to the provider who answers your call, and find out what you should do.

Before you have a medical problem, learn what your choices are. Put these telephone numbers in the memory of your phone:

• Your provider at a Fitzgibbon primary care clinic such as Marshall Family Practice (660-886-7800 opt. 3), Missouri Valley Physicians in Marshall (660-886-3364), Mid-Missouri Family Health in Marshall (660-831-1175), Akeman McBurney Medical Clinic in Slater (660-529-2251), Grand River Medical Clinic in Brunswick (660-548-3161), Pilot Grove Medical Clinic (660-834-5100) or Fitzgibbon Family Health in Fayette( 660-248-2900).
• 911 or The Fitzgibbon Emergency Department (660-886-7431)