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Please review our Privacy Policy below.
We require only the last page to be printed, signed, and brought to your appointment.
If you choose, you may print a full copy of the Privacy Policy for your records.
Returning Patient Forms
CAPITAL
FOOT CENTER, PC
Call Us Today: 402.483.4485
EMERGENCY APPOINTMENTS AVAILABLE


1150 North 83rd Street - Lincoln, NE 68505

If it has been one year or longer since your last visit to Capital Foot Center, we request that your review and complete our Patient Forms. We provide our patient forms for your convenience and to make your appointment as efficient as possible. You may review and complete the forms online prior to printing, or you may print the forms and complete them by hand. Please bring the completed forms to your appointment or fax them to our office at 402-483-5372.

If you choose to complete the patient forms at our office, please arrive at least 30 minutes prior to your scheduled appointment to allow yourself sufficient time.  If your patient forms are not completed before your appointment time, your appointment may be delayed. 

Please contact your insurance carrier about policy deductibles, copays and coinsurance prior to your appointment. Feel free to contact our office at 402-483-4485 with any questions.  
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