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

(402) 420-0024