Admissions/Forms

Admissions

You will receive compassionate, personalized care at Brodstone Memorial Hospital from providers you know and trust. Superior Family Medical Center, along with the satellite clinics, has become your local community healthcare partner. We take great pride not just in caring for you, but also in caring about you. We've grown into a progressive, personalized healthcare center with a mission to improve the quality of life of all those around us. With a friendly, family atmosphere, our staff strives to make your time with us as pleasant as possible.

This page provides you with information you need to know as a patient or a visitor, including the admissions process, financial services and guest services. There is also information about Superior as well as patient comments.

If at any time during your stay with us you have any questions, please ask an employee and they will find the answer for you. Thank you for choosing Brodstone Memorial Hospital, Superior and Nelson Family Medical Center and Edgar Medical Clinic for your healthcare needs. We are proud to serve you!

Forms

For your convenience we have links to forms that may be helpful to our patients and visitors. If you have any questions concerning any of these forms, please feel free to contact us at Brodstone Memorial Hospital 402-879-3281 or Superior Family Medical Center 402-879-4781.

Privacy Statement Brochure

Patient Rights Responsibilities

Authorization for Release of Health Information from Clinic

New or Update of Patient Information Adult

New or Update of Patient Information Child

Patient Handbook

Application for Handicapped Parking Permit Kansas

Application for Handicapped Parking Permit Nebraska

Authorization for Emergency Treatment of Minors

Authorization for Release of Health Information from Hospital

Authorization for Release of Health Information to Brodstone from other source

Deshler Student Physical Form

Every Woman Matters Enrollment Form Nebraska

Kansas Schools Student Physical Form

SCUD Elementary Student Physical Form

SCUD Jr & Sr High Student Physical Form

Superior Elementary Student Physical Form

Superior Jr & Sr High Student Physical Form

Vaccine Programs in Surrounding Communities