New Patient Paperwork
Thank you for choosing Lincoln Wellness Center for your health needs. We look forward to seeing you at your new patient appointment and are excited to help you in your journey to health! Let’s get started!
Please complete the paperwork below.
- PDF files must be saved to your desktop before and after completing.
- All forms are PDF files. You will need AdobeReader® to view them. If you do not already have AdobeReader® installed on your computer,
Click Here to download.
PLEASE FILL OUT THE FOLLOWING PAPERWORK BELOW:
Complete the Health History Questionnaire below and email this document to office@lincolnwellnesscenter.com
Attention Parents/Guardians: If you have a child age 10 or under, you will need to complete the Pediatric History Form and not the Health History Questionnaire listed above.
OFFICE HOURS
Monday
Closed
Tuesday
9:00am - 10:30am
3:30pm - 6:00pm
Wednesday
Virtual Consultations
Thursday
9:00am - 10:30am
3:30pm - 6:00pm
Friday
Closed
Saturday & Sunday
Closed
Lincoln Wellness Center
1777 N 86th St, STE 102
Lincoln, NE 68505