BCHHC

Women's and Children's Clinic Forms

For your convenience, common patient forms are now included online. Select the appropriate form(s), print and complete. Please bring the forms with you to your next appointment.

New Patient Information

Release of Records

Consent to Treat Minor Child

OB Intake Form

One Chart Child Proxy Form

If you have any questions, please contact us.

Beatrice Community Hospital & Health Center
4800 Hospital Parkway
Beatrice, NE, 68310-6906

Phone: (402) 228-3344 | Hours & Map

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Our Clinics

Beatrice Family & Internal Medicine

Beatrice General Surgery

Beatrice Orthopaedics & Sports Medicine

Beatrice Rehabilitation Services

Beatrice Specialty Provider Clinics

Beatrice Women's & Children's Clinic

Wymore Medical Clinic

This website is for informational purposes only and not intended as medical advice or a substitute for a consultation with a professional health care provider.