On this page we have included the forms that are required for some office visits. Our office staff will let you know if any of these are necessary. You may print them, fill them out, and bring them to the visit. This will help your visit to run more smoothly.
Use our online patient forms for non-urgent requests only. For urgent requests, within 24 hours, please contact us by phone at 402-465-5600. Our office will contact you within 48 hours after receiving your online submission.
Well Child Visit Questionnaires
Medical History Form
If you would like to request that another office send records to Complete Children’s Health please fill out the following form.
If you would like to request that Complete Children’s Health send copies of records please fill out the following form.
In addition, many of your child’s records are found on and/or can be requested through the patient portal.
New Patient Forms
Asthma Clinic Forms
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
8:00 am to 5:00 pm Monday - Friday
9:30 am to 3:30 pm - Saturday
9:30 am to 1:30 pm - Sunday
8:45 to 4:30 Monday - Friday
Evening/Weekend Clinic Hours
West A Location Only
Sick visits only, appointments required
Monday - Thursday starting at 5:30
Saturday 9:00 am - 4:00 pm
Sunday 10:00 am - 2:00 pm