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