Your care. Our inspiration.

Adjust Text size: A A
Youtube Facebook LinkedIn Twitter Print Page Email Page


Hastings Pulmonary and Sleep Clinic reception deskSchedule an appointment

  • Referrals – Some insurance carriers require a referral or authorization prior to seeing a specialist. It is the patient’s responsibility to contact their insurance provider to determine if referral is required prior to scheduling an appointment.
  • To schedule an appointment please call our office at: (402) 460-5787
  • If you are a new patient please download, print and complete the forms below. Bring the completed forms with you to your appointment.


If you are not able to keep your scheduled appointment please let our office know 24 hours BEFORE your scheduled appointment.

Reminders for Day of Appointment

  • Arrive 10 minutes early (20 minutes for new patients)
  • Bring insurance card and copay if applicable
  • Bring Photo ID
  • Current medications list
  • Print and fill out patient forms

Patient Forms

PDF File Patient Information: English | Español

PDF File Authorization for Treatment: English | Español

PDF File Patient Medical History

PDF File Patient Medication Allergies

The forms listed above are PDF files. Adobe Reader is required to view and print these files. Download Adobe Reader for free by clicking the button below:

Get Adobe Reader