Superior care close to home.

Superior Family Medical Center stands ready to care for you and your family!

Forms

Forms

PDF icon Privacy Statement Brochure

PDF icon Patient Rights Responsibilities

PDF icon Authorization for Release of Health Information from Clinic

PDF icon New or Update of Patient Information Adult

PDF icon New or Update of Patient Information Child

PDF icon Patient Handbook

PDF icon Application for Handicapped Parking Permit Kansas

PDF icon Application for Handicapped Parking Permit Nebraska

PDF icon Authorization for Emergency Treatment of Minors

PDF icon Authorization for Release of Health Information from Hospital

PDF icon Authorization for Release of Health Information to Brodstone from other source

PDF icon Deshler Student Physical Form

PDF icon Every Woman Matters Enrollment Form Nebraska

PDF icon Kansas Schools Student Physical Form

PDF icon SCUD Elementary Student Physical Form

PDF icon SCUD Jr & Sr High Student Physical Form

PDF icon Superior Elementary Student Physical Form

PDF icon Superior Jr & Sr High Student Physical Form

PDF icon Vaccine Programs in Surrounding Communities

Clinic