Lincoln & Friend, Nebraska  ·  Se habla español

New Patients

Patient Forms

Download new-patient forms for Complete Rural Medicine: consent, financial policy, privacy notice, release of information and the pre-visit questionnaire.

2 clinics

Lincoln (3900 S 6th St) and Friend (515 2nd St), Nebraska.

Board-certified

Family nurse practitioners lead every visit.

New patients

Welcome at both clinics. Insurance and self-pay options.

Se habla español

Spanish-speaking care at our Lincoln clinic.

Save time at your first visit: download, print and complete the forms below, then bring them to your appointment at our Lincoln or Friend clinic. Questions? Call (402) 267-2645.

CRM FINANCIAL POLICY CRM MEDICAL CONSENT FORM CRM NOTICE OF PRIVACY PRACTICES CRM ONLINE PATIENT FORMS CRM PRIVACY NOTICE CRM PATIENTS RIGHTS & RESPONSIBILITIES CRM PREVISIT QUESTIONAIRRE CRM RELEASE OF INFORMATION CRM RELEASE OF VERBAL MEDICAL INFORMATION SURESCRIPT CLINIC CONSENT FORM

Your Providers

Care led by board-certified nurse practitioners

Ana Taylor, MSN, APRN, FNP-C, owner of Complete Rural Medicine

Ana Taylor

MSN, APRN, FNP-C

Owner and co-founder. Full bio

Chantel Collier, MSN, APRN, FNP-C

Chantel Collier

MSN, APRN, FNP-C

Co-founder. Full bio

Amparo Fernandez, APRN, FNP-BC, Spanish-speaking nurse practitioner in Lincoln, NE

Amparo Fernandez

APRN, MSN, MBA, MPH, FNP-BC

Bilingual English/Spanish. Full bio

Complete Rural Medicine has clinics at 3900 S 6th St, Suite 1, Lincoln, NE 68502 ((402) 267-2645) and 515 2nd St, Friend, NE 68359 ((308) 646-2471).

Book a Visit

Request an appointment

Tell us a little about what you're looking for and our team will reach out to schedule your visit at our Lincoln or Friend clinic.

  • New patients welcome
  • Insurance and self-pay options
  • Se habla español (Lincoln)

Prefer to call?

(402) 267-2645

For a medical emergency, call 911.