3901 Pine Lake Road
Suite 220

Lincoln, NE 68516

(402) 421-3240
Fax: (402) 423-0739

24/7 Customer Support

Mon - Fri: 7:25-4:45
Closed Sat-Sunday

Phone Hours: 8:15-4:00

Our Privacy Practices.

  1. Lincoln Internal Medicine is dedicated to the privacy of our patients information.  Included on this page is information on our Privacy Practices, please open that tab to read about how we protect and use your data.  If you have any questions about our practices privacy policies don’t hesitate to contact our Privacy Officer at 402-421-3240.

Giving doctors extra support to help you get better care
Through CPC+, our insurers will give our practice additional resources to help us better manage your care. We hope to provide you the highest quality patient-centered care.

More information for traditional Medicare (Part A and Part B) beneficiaries
To help us take better care of you, Medicare will start sharing some of your personal health information with us. This information will help provide us a more complete picture of your health so we’re better able to coordinate your care. If you want to stop Medicare from sharing this information, please let us know as soon as possible so we can notify the CPC+ team.

Your Medicare benefits aren’t changing. You still have the right to use or visit any doctor or hospital that accepts Medicare, at any time. Your doctor may continue to recommend that you see particular doctors for your specific health needs, but it’s always your choice which doctors you use or hospital you visit.

Questions?
If you have questions or concerns, bring it up to your physician the next time you’re in the office for an appointment.

You can also visit https://innovation.cms.gov/initiatives/comprehensive-primary-care-plus or contactCPC+ Support at CPCPlus@Telligen.com or 1-888-372-3280.

Our Privacy Practices

  1. Lincoln Internal Medicine is dedicated to the privacy of our patients information.  Included on this page is information on our Privacy Practices, please open that tab to read about how we protect and use your data.  If you have any questions about our practices privacy policies don’t hesitate to contact our Privacy Officer at 402-421-3240.

Giving doctors extra support to help you get better care
Through CPC+, our insurers will give our practice additional resources to help us better manage your care. We hope to provide you the highest quality patient-centered care.

More information for traditional Medicare (Part A and Part B) beneficiaries
To help us take better care of you, Medicare will start sharing some of your personal health information with us. This information will help provide us a more complete picture of your health so we’re better able to coordinate your care. If you want to stop Medicare from sharing this information, please let us know as soon as possible so we can notify the CPC+ team.

Your Medicare benefits aren’t changing. You still have the right to use or visit any doctor or hospital that accepts Medicare, at any time. Your doctor may continue to recommend that you see particular doctors for your specific health needs, but it’s always your choice which doctors you use or hospital you visit.

Questions?
If you have questions or concerns, bring it up to your physician the next time you’re in the office for an appointment.

You can also visit https://innovation.cms.gov/initiatives/comprehensive-primary-care-plus or contactCPC+ Support at CPCPlus@Telligen.com or 1-888-372-3280.

Copy of our privacy practices form. DOWNLOAD FORM

Receipt of privacy practices and release as well as message authorization. DOWNLOAD FORM

When you are revoking an okay to release your protected health information to someone, you will need to fill out this form and also BE SURE to fill out the HIPAA Agreement form located above.  DOWNLOAD FORM

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This site is for informational purposes only. Information on the site or social media platform DOES NOT create a physician-patient relationship or constitute as medical advice. The information provided DOES NOT replace the need for face-to-face consultation with the physician. L.I.M.A. has no control over third party links to our website. L.I.M.A. has included some of their office forms for your and their convenience on this website, please see tab.  Forms should be downloaded and printed, then completed and brought to your next visit.  Forms cannot be submitted electronically at this time.

PROUD MEMBER OF

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This site is for informational purposes only. Information on the site or social media platform DOES NOT create a physician-patient relationship or constitute as medical advice. The information provided DOES NOT replace the need for face-to-face consultation with the physician. L.I.M.A. has no control over third party links to our website. L.I.M.A. has included some of their office forms for your and their convenience on this website, please see tab.  Forms should be downloaded and printed, then completed and brought to your next visit.  Forms cannot be submitted electronically at this time.

PROUD MEMBER OF

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This questionnaire is to be filled out prior to making any initial appointment. Please make sure to have these completely filled out and Sent to the appropriate staff member. DOWNLOAD FORM

This packet is to be filled out prior to your initial appointment. Please make sure to have these completely filled out and bring them with you to your scheduled appointment. DOWNLOAD FORM

If your office visit is due to a work accident, please fill out the appropriate information on this form and bring it with you to your appointment. DOWNLOAD FORM

If your office visit is due to an auto accident, please fill out the appropriate information on this form and bring it with you to your appointment. DOWNLOAD FORM

If you would like your records sent somewhere outside of our office we will need this form sent in to us completed.. DOWNLOAD FORM

A simple questionnaire for Medicare recipients. . DOWNLOAD FORM

This form allows you to submit a complaint in writing to the clinic. Please mail it to the office at 3901 Pine Lake Rd, Ste 220 Lincoln, NE 68516 attention Gloria or HIPAA Compliance/Safety Officer. A staff member will follow up on the complaint. Complaints may also be called in to the clinic.  DOWNLOAD FORM