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Patient Forms

If you would like, print out the following forms and fill them out before coming in to the clinic.

Patient Registration Form

Health History Form

Patient Portal

Login to our Patient Portal here

Our medical services

Heartland Urgent CareMedical

  • Treating minor illnesses
  • Treating minor injuries
  • Preventative medical care
  • Sport Physicals
  • Work Physicals
  • Occupational health


Our location
Heartland Urgent Careour
Heartland Urgent Care
965 South 27th Street, Suite D
Lincoln, NE 68510
Phone: (402) 477-3505
Fax: (402) 477-3508
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