Columbus Otolaryngology Clinic
 

Forms

            

 Financial Form - English    

Financial Form - Spanish

Minor Patient Form - English

Minor Patient Form - Spanish

Patient Registration Form - English

Patient Registration Form - Spanish

Medical History Form - English

Medical History Form - Spanish

Notice of Privacy - English 

Notice of Privacy - Spanish

Columbus Otolaryngology Clinic

American Board of Otolaryngology Certified - Founding Member of the American Board of Medical Specialties (ABMS)

Nila M. Novotny, M.D.

Paul S. Sherrerd, M.D.

James M. Weekly, M.D.

 

4508 38th St., Suite #152

Columbus, NE 68601-1668

402-562-4720 FAX: 402-562-4721

Emergency call 911

 

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