Contact Us:Gage County Medical Clinic1101 N. 10th St.Beatrice, NE 68310402-228-3436
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Forms
Gage County Medical Clinic may have requested you complete one of the following forms. Please print the form, fill out, sign and return the form as directed by the clinic staff.
Authorization for Release of Information
Authorization for Release of Information from an Outside Entity
Consent to Treat for Minor Child
Consent for Treatment-Outpatient Services
Medical and/or Financial Information Preferences
Preparticipation Physical Evaluation
Medical Staff
Dr. Meredith (Weber) Decker
Licensed Psychologist
Dr. David Gloor
Family Medicine
Dr. Jamie Zillig Kielian
Dr. Patrick McGuffey
Dr. Benjamin Thayer
Dr. Eric Thomsen
Jaime Hatcliff
Physician Assistant