New Patient Forms

Save time by filling out forms before your visit. We’ve provided the forms in English and Spanish for your convenience.

Prefer to print forms and bring them with you? You can download the forms, print them, fill them out and bring them with you.

Referring Provider Offices

Medical Records Request

Please fax all medical records requests to 402.884.7846.
Allow 24 to 48 hours for processing.


Meet DOT.

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