Medical History Form
Well Child Visit Questionnaires
Psychology Services Form
If you would like to request that another office send records to Complete Children’s Health please fill out the following form.
Authorization to Get Records Form
If you would like to request that Complete Children’s Health send copies of records please fill out the following form.
Authorization to Release Records Form
In addition, many of your child’s records are found on and/or can be requested through the patient portal.
3262 Salt Creek Circle, Lincoln, NE 68504
4020 Hohensee Drive, Lincoln, NE 68516
8201 Northwoods Drive, Lincoln, NE 68505
1336 West A St, Suite B Lincoln, NE 68522
8:30 am to 4:30 pm Monday – Friday
Hohensee Location Only
9:00 am to 4:00 pm Saturday
9:00 am to 1:00 pm Sunday
Monday – Thursday starting at 5:30 pm
8:00 am to 5:00 pm Monday – Friday
8:30 am to 3:30 pm Saturday
8:30 am to 12:15 pm Sunday
After hours - call 402-465-5600 and choose option 1 to reach Telephone Line to Care.