Your care. Our inspiration.

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To schedule an appointment please call:

(402) 462-2139

New patients: please download, print, and complete forms below. Bring the completed forms with you to your appointment.


Please notify the office 24 hours BEFORE your scheduled appointment if you are unable to keep your scheduled time.


Arrive fifteen minutes before your scheduled appointment time.

Things to bring with you:

  • your insurance card;
  • copay (if applicable);
  • photo identification;
  • your current medication list;
  • any necessary forms (completed).

Patient Forms

PDF File Patient Data

PDF File Medical History

PDF File Consent Form

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