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Patient Registration - Forms

Welcome to Gastroenterology Specialties, PC

and Lincoln  Endoscopy Center, LLC.

In order to expedite your first visit, our website provides the paperwork needed so that we may open a medical chart for you. Please print and fill out the following new patient forms prior to your appointment and bring them along with your insurance card, a referral (if required) from your primary care physician, and additional test results or pertinent medical records. We also suggest that you arrive 20 minutes early for your scheduled office appointment and 30 minutes early for your procedure at Lincoln Endoscopy Center.

All of this will hopefully lead to a prompt and stress free first visit with us. We look forward to providing you and your family with the highest quality medical care in a professional setting. If you have additional questions call 402-465-4545.

IF YOU HAVE A SCHEDULED PROCEDURE AND HAVE NOT BEEN SEEN IN 3 YEARS, PLEASE FILL OUT THE ONLINE FORMS TO BRING CURRENT ALL OF YOUR INFORMATION. 

Please fill out all four forms
HIPAA Form
Please fill out all four forms
 
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Please send all questions and comments regarding the website to our Webmaster.
For messages regarding patient care please visit the Contact Us page.