Office Procedures

Forms
Please complete and sign the forms and either fax to 402.489.5220 or print and bring the completed forms with you to our office along with a photo id and health insurance card. 

Disclosure Authorization
Notice of Privacy Rights and Practices
Financial Policy
Physician Consultation Form

Participating Insurance Plans
ASC (Federal Work Comp)
Medicare
   Medicare Railroad
Nebraska Medicaid
BCBS of Nebraska
   PPO
   Classic
   Medicare Advantage
Coventry/First Health
ChoiceCare
Corvel
Interplan/Accountable
Midlands Choice
MultiPlan, Inc.
Mutual of Omaha
Private Health Care Systems
PPOUSA/GEHA
Tricare
United Health Care