Patient Forms

FOR APPOINTMENTS: If you are a new patient or have not been seen in our office in the past year, please click the link below and complete this form for your upcoming office visit.

*** FOR PROCEDURES, SCROLL DOWN AND USE THE PRE-PROCEDURE FORM ***

Online Patient Registration

Printable Registration Forms option

FOR PROCEDURES: If you have an upcoming procedure and have not been seen in our office within 30 days of your procedure date, please click the link below and complete this form unless you have already updated your history with a nurse over the phone.

Online Pre-Procedure Patient Form

When you arrive for your appointment please bring your insurance card, a referral (if required) from your primary care physician, and additional test results or pertinent medical records. We also suggest that you arrive 20 minutes early for your scheduled office appointment and 30 minutes early for your procedure at Lincoln Endoscopy Center.

All of this will hopefully lead to a prompt and stress-free first visit with us. We look forward to providing you and your family with the highest quality medical care in a professional setting. If you have additional questions call 402-465-4545.

 

You do not need to fill out any of the forms below if you have already filled out the Patient Registration form above.