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Questions? Call: (402) 228-3344
Gage County Medical Clinic - 402-228-3436
Contact Us:
Gage County Medical Clinic
1101 N. 10th St.
Beatrice, NE 68310
402-228-3436
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
Licensed Psychologist
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Physician Assistant
Beatrice Community Hospital & Health Center
4800 Hospital Parkway
Beatrice, NE, 68310-6906
4800 Hospital Parkway
Beatrice, NE, 68310-6906