General Surgery Associates
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    • 402-483-4292
    • sheila@gsalincoln.com
    • 402-483-4735
  • Home
  • Patient Resources
    • Patient Portal
    • Forms
    • Patient Education
    • How to Make a Payment
    • See our Reviews
    • Leave a Review
  • Medical Services
  • Surgeons & Staff
  • Locations
  • Contact Us
    • 402-483-4292
    • sheila@gsalincoln.com
    • 402-483-4735

New Patient Forms

Patient Health Questionnaire

New Patient Form

Medication Authority & HIPPA

Review of Systems

All Other Forms

Authorization for Release

Medical Records Release

Patient Interpreter Authorization

Contact Us

Phone: 402-483-4292
Fax: 402-483-4735
Email: sheila@gsalincoln.com

1101 S. 70th Street #100
Lincoln, NE 68510

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