Clinic with a Heart Patient Forms

Medical, Dental, Chiropractic and Mental Health Pre admission packet (for patients with an appointment)
School and Sports Physical Pre admission packet (for patients with an appointment)

Clinic with a Heart is a Free Healthcare Clinic

We do not require patient identification or proof of income.

Call in on clinic days, after 2:00 p.m., to reserve a spot . Our number is 402-421-2924. At that time you will be given a number and return time (or told that we are full). You may NOT leave a voicemail message to reserve a spot. You must talk to someone at Clinic with a Heart.