Forms

Welcome to Community Medical Center. Please use the links below to find the form you need for your appointment.

• HOPE program
  • HOPE Application
  • HOPE Policies
• Notice of Privacy Practices
• Bill Pay
• Medical Record Release Form
• Patient Rights
• Family Medicine Clinic Sliding Fee Scale Application – Please contact Family Medicine at 402-245-4475 and ask for the billing office.
• Release of Information Form – please contact Health Information Management at 402-245-6512 or email Karen Brown, Supervisor, kbrown@cmcfc.org.