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(402) 228-3117
4800 Hospital Parkway/U.S. Hwy 77 North, North Addition, Beatrice, NE

BWCC Clinic

Patient 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.


Release of Records


Consent to Treat Minor Child


Financial Assistance Policy


Tylenol / Motrin Dosing for Children


OB Intake Form


One Chart Child Proxy Form


Safe Common Medications / Treatment During Pregnancy


If you have any questions, please contact us.


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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.
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