online services
practice forms
Medical History Form
Well Child Visit Questionnaires
Consent Form
Behavioral Forms
Psychology Services Form
This form is specifically for use with appointments with our psychologists. You may download and print the form listed below and bring it to your appointment
New Psychology Patient Form
Release Psychology Records
Welcome Letter For Patients of Psychology
Medical Records
If you would like to request that another office send records to Complete Children’s Health please fill out the following form.
Authorization to Get Records Form
If you would like to request that Complete Children’s Health send copies of records please fill out the following form.
Authorization to Release Records Form
In addition, many of your child’s records are found on and/or can be requested through the patient portal.
LOCATIONS
3262 Salt Creek Circle, Lincoln, NE 68504
4020 Hohensee Drive, Lincoln, NE 68516
8201 Northwoods Drive, Lincoln, NE 68505
1336 West A St, Suite B Lincoln, NE 68522
Phone: 402-465-5600
Fax: 402-327-6074
Holidays
Complete Children’s Health is closed on some holidays including Christmas, New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Easter, Mother’s Day and Father’s Day. Other select days may have reduced hours.
HOURS
Clinic Hours-Weekdays
8:30 am to 4:30 pm Monday – Friday
Clinic Hours-Weekends
Hohensee Location Only
9:00 am to 4:00 pm Saturday
9:00 am to 1:00 pm Sunday
Clinic Hours-Evenings
Monday – Thursday starting at 5:30 pm
Phone Hours
8:00 am to 5:00 pm Monday – Friday
8:30 am to 3:30 pm Saturday
8:30 am to 12:15 pm Sunday
After hours - call 402-465-5600 and choose option 1 to reach our after hours Nurse Triage line.