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Home > Locations > Hospitals > Crete Area Medical Center > Patient Forms

Crete Area Medical Center

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CAMC Patient Forms

For your convenience these patient forms are available for you to complete ahead of time and bring to your admission to Crete Area Medical Center or to your doctor's appointment. Your nurse will inform you of which forms to complete.

CAMC Medical Center Forms

  • Patient Registration
  • Permission to Treat a Child
  • Permission to Treat a Child - Spanish

CAMC Physician Clinic, Friend Medical Clinic, and Wilber Medical Clinic Forms

Pediatric Health Questionnaires

  • 2 week – English
  • 2 month – English
  • 4 month – English
  • 6 month – English
  • 9 month – English
  • 12 month – English
  • 15 month – English
  • 18 month – English
  • 24 month – English
  • 30 month – English
  • 3 year – English
  • 4 year – English
  • 5-6 year – English
  • 7-8 year – English
  • 9-10 year – English
  • 11-14 year (Parent Form)
  • 11-14 year (Student Form)
  • 15-20 year (Parent Form)
  • 15-20 year (Student Form)
  • 2 week – Spanish
  • 2 month – Spanish
  • 4 month – Spanish
  • 6 month – Spanish
  • 9 month – Spanish
  • 12 month – Spanish
  • 15 month – Spanish
  • 18 month – Spanish
  • 24 month – Spanish
  • 30 month – Spanish
  • 3 year – Spanish
  • 4 year – Spanish
  • 5-6 year – Spanish
  • 7-8 year – Spanish
  • 9-10 year – Spanish
  • 11-14 year (Parent Form)
  • 11-14 year (Student Form)
  • 15-20 year (Parent Form)
  • 15-20 year (Student Form)

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  • 1600 S. 48th St. Lincoln, NE 68506-1299