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Welcome to Papillion Family Medicine! -- 402-502-3600
New Patient and Other Forms
Save time on your first visit by clicking on the forms below, print them before your appointment, complete, and bring in for your appointment!
(Or come 15 minutes early to fill them out here!) Either Way--Thanks!
New Patient
Information
for PFM (Us)
Records Release-
To Send Us Records or
Send Your Records Out.
Click the W >
If you want a Word
Document.
Click the GoTo >
If you want Text.
Medical
History Form
If you want
Phone Texts
HIPAA form
to share your
Information
If you want
E-Mail's
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