To schedule an appointment please call our office Monday through Friday between the hours of 9 a.m. and 5:00 p.m. Please call our office number at (402)420-0400. We will make every effort to get you in as quickly as possible.
Your appointment allows time to address one problem. If you have more than one ailment to discuss, please notify the scheduler when you make the appointment and they can allow for more time to address your needs.
To expedite setting up your appointment, please have the following information available when you call our office.
You will need to bring the following items with you to your appointment:
We make every effort to see our patients on time, by being on time for your appointment and having all of the necessary paperwork filled out completely we are able to continue to see our patients on a timely basis. Thank you in advance for your help.
Please arrive 10 minutes before your scheduled appointment time to allow us to check you in for the appointment.
Cancellations:
If you are unable to make your scheduled appointment or if you are going to be delayed,
please contact our office as soon as possible (24 hour notice is
preferred for cancellations). We will make every effort to reschedule your appointment
at a more convenient time.
HIPAA Notice of Privacy Practices
Click on the following link to download a copy of our Privacy Practices
If you would like to have your records released to another provider/other entity, we have included a link to our medical release form below. Please fill this out and either send to our office or fax it to 402-420-0402 ATTN: Medical Records.
Your appointment allows time to address one problem. If you have more than one ailment to discuss, please notify the scheduler when you make the appointment and they can allow for more time to address your needs.
To expedite setting up your appointment, please have the following information available when you call our office.
- Full Name
- Address
- Date of Birth
- Home/Cell Phone Numbers
- What we will be seeing you for?
- Is the injury work related?
- How you heard about our office?
- Insurance Information/Name of your Carrier
- Length of complaint?
- Have you seen a physician for this injury in the past?
- Have you ever had an x-ray, MRI or CT scan of this complaint before. If so, where at and how long ago?
You will need to bring the following items with you to your appointment:
- Your new patient paperwork filled out in entirety (Please see the required paperwork link below)
- A valid drivers license or state identification card
- Current health Insurance card(s)
- Any appropriate medical records, x-rays, scans or MRI’s
- Worker’s Compensation or third party liability insurance company’s information including: insurance company name, address, claim number, adjustor’s name and phone number (if applicable) (Please see the link for the required paperwork below)
- If the patient is a minor (19 years or younger), a parent or guardian must accompany the patient to their appointment, or the patient must have a written consent from a parent or guardian in order to be seen by a physician.
We make every effort to see our patients on time, by being on time for your appointment and having all of the necessary paperwork filled out completely we are able to continue to see our patients on a timely basis. Thank you in advance for your help.
Please arrive 10 minutes before your scheduled appointment time to allow us to check you in for the appointment.
Cancellations:
If you are unable to make your scheduled appointment or if you are going to be delayed,
please contact our office as soon as possible (24 hour notice is
preferred for cancellations). We will make every effort to reschedule your appointment
at a more convenient time.
HIPAA Notice of Privacy Practices
Click on the following link to download a copy of our Privacy Practices
If you would like to have your records released to another provider/other entity, we have included a link to our medical release form below. Please fill this out and either send to our office or fax it to 402-420-0402 ATTN: Medical Records.
| NEW PATIENT PAPERWORK |
| RELEASE OF MEDICAL RECORDS |
| LIABILITY INFORMATION |
| WORKERS COMP FORM |
| NOTICE OF PRIVACY PRACTICES |