Patient Forms

Want to save time during your visit with us? Please print and fill out the following forms and bring with you on your first appointment.

Don't forget to bring your insurance information with you

In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.

We accept most types of health insurance. Please contact us for further details.

MISSION

Enhancing the health and the quality of life for the communities we serve!

VISION

To be the trusted source of health care for our communites by spreading our caring spirit, providing family-centered care, ensuring availability of technology and focusing on excellence.

VALUES

* Passion

* Caring

* Motivation

* Holistic Care

* Respect

* Commitment

* Home

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© Pawnee County Memorial Hospital/Rural Health Clinic