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Submit paperwork online via our Patient portal

Register now to securely fill out our patient paperwork and have access to your medical records. Once you complete the registration, you will be able to start accessing your HIPAA compliant patient portal!  Once you are on your patient portal account you will have the ability to fill out the new patient paperwork electronically and submit it through your patient portal. 

Haga clic en el enlace de abajo para llenar su papeleo electrónicamente e imprimir el formulario completado para traer con usted a su visita.

Register for Patient Portal

Print paperwork

Click on the link below to fill out your paperwork electronically and print completed form to bring in with you to your visit. 

Formularios para pacientes en español

your vision, our mission


(308) 865-2760


411 West 39th St
Kearney, NE 68845


Mon-Fri: 8:00am-5:00pm
Sat-Sun: Closed
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