Thank you for completing the patient paperwork online. If you have not called us to schedule an appointment yet, please do so promptly. We schedule appointments for the week of service only and spots fill up fast. Patients who complete patient forms, but do not schedule an appointment with our staff will have difficulties being seen. Our appointment number is 402-421-2924. Leaving a message will not secure an appointment, though we will do our best to return your call.
Once you have an appointment, click on the links below to complete your patient information.
Forms available in English and Spanish!
Our Impact Throughout the Community...Thanks to you!
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In-Person Appointments Provided
3,109
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Patients Served Without Insurance
83%
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12,125
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Patients Living In Poverty
67%
