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*LINCOLN PHONE ISSUE PERSISTS*
Lincoln callers, please call 402-391-1800, option 2.
You will then be transferred to Lincoln.
Lincoln Patient Forms
New Patient Forms:
Authorization to Disclose Health Information to Family Members and Friends
Established Patient Forms:
Change of Insurance Form - The office will also need a front and back copy of your insurance card before the request can be completed.
Lincoln Medical Records Release Forms:
Lincoln Allergy Injection Consent Form:
Lincoln Allergy Immunotherapy Consent Form
Student Asthma/Allergy Action Plan

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