Forms - LFMG

LFMG PC

Lincoln Family Medical Group PC

Forms

For assistance, please call

402-488-7400

All patients fill out before your appointment.

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Wellness Visit Questionnaire

 

Fill out if you are a new patient to our clinic.

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New Patient Intake Form

 

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Medicare Authorization and Questionnaire

Only for those covered by Medicare

 

Clinic Policies and Notices

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Telephone Call Policy and Fees

Costs may be incurred
depending on time of day and length of call.

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Privacy Notice

Detailed information
about how we protect your privacy.