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Arbor Psychiatric & Wellness Center
Nebraska City, NE 68410
Phone:402.713.0110
Fax: 402.713.0285
Forms & Links
NEW PATIENT PAPERWORK Electronic Forms (Fillable PDF)
For NEW patients over 19 years old, please complete the following paperwork prior to your appointment:
For NEW patients under 19 years old, please complete the following paperwork prior to your appointment:
New paient papwerwork
IN ADDITION TO THE ABOVE: For patients seeing Lindsey Teten, APRN, please complete a release for your primary care provider:
EXISTING PATIENT PAPERWORK
For EXISTING patients over 19 years old, please complete the following paperwork:
For EXISTING patients under 19 years old, please complete the following paperwork:
Current patient paperork
IN ADDITION TO THE ABOVE: For patients seeing Lindsey Teten, APRN, please complete a release for your primary care provider:
Download & Print Forms
Fillable Forms
Billing/Payment Forms
Biling/Payment
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