FMLA & Forms

FMLA / Handicap Stickers / Work Releases / Other Paperwork: (FMLA & Forms)

In the event that you are in need of paperwork to be completed by one of our providers, please bring your paperwork in to the front desk or by fax at 402-292-0119. One of our staff members will ensure that the paperwork gets back to the provider with your chart. Please be advised that there MAY BE A CHARGE OF UP TO $50 FOR THIS SERVICE AND PAYMENT IS EXPECTED IN FULL BEFORE ANY PAPERWORK WILL BE RELEASED. Please allow our staff up to 2 weeks to have this paperwork completed entirely and correctly the first time to avoid any delays in the processing of your paperwork.