New Patient Paperwork

Lincoln Wellness Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • 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.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • Health History Form

    Click to Download

  • Minor Consent Form

    Click to Download

  • Functional Assessment Questionnaire

    Click to Complete

OFFICE HOURS


Monday
9:00am - 11:30am


Tuesday
3:30pm - 6:00pm


Wednesday
9:00am - 10:30am
3:30pm - 6:00pm


Thursday
3:30pm - 6:00pm


Friday
Virtual Consultations


Saturday & Sunday
Closed

Lincoln Wellness Center

1777 N 86th St, STE 102
Lincoln, NE 68505

(402) 420-0024