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Date / / Authorization for Release of Medical Information Patients name: Date of Birth: Address: Kearney Clinic, P.C. Kearney Urgent Care 211 West 33rd Street Kearney, NE 68848 Tel. (308) 8652141
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How to fill out kearney clinic urgent care:

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Make sure to bring your identification and insurance information with you.
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Be prepared to provide a detailed medical history, including any current medications or treatments.
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Individuals experiencing non-life-threatening injuries or illnesses that require immediate medical attention.
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Remember, if you are experiencing a medical emergency, please call 911 or go to the nearest emergency room instead of visiting an urgent care clinic.
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Kearney Clinic Urgent Care is a medical facility that provides immediate treatment for non-life-threatening injuries and illnesses on a walk-in basis.
Patients who visit Kearney Clinic Urgent Care are required to provide their personal and insurance information for filing purposes.
To fill out Kearney Clinic Urgent Care forms, patients need to provide their personal information, medical history, insurance details, and reason for their visit.
The purpose of Kearney Clinic Urgent Care is to provide convenient and timely medical care for minor injuries and illnesses without the need for an appointment.
Information such as patient's personal details, medical history, insurance information, and reason for the visit must be reported on Kearney Clinic Urgent Care forms.
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