Patient Information

Patient Forms

Patient Form Information

For your convenience, we have created the following forms for our patients to fill out online and submit. For paper submission, please download, print and complete the appropriate form(s), then bring a copy with you to your appointment.

Sleep Study Form

When you’ve completed your form, you may optionally send them to the email below:

Map & Directions

Get Directions (Google)


Browse Our List of Services

Health Portal

Login to the Patient Portal

Pay Online

Pay Your Balance Online

24-Hour Emergency Unit

GPRMC’s Emergency Department is staffed 24/7 by emergency medicine trained physicians and a staff of seasoned emergency/trauma nurses. Great Plains Regional Medical Center is designated as a paramedic-receiving facility where each patient who arrives is immediately met and triaged by an ER physician. We place the highest priority on our patients and want to exceed your expectations.