Immunizations
All fields are required
Type of Visit
Adult Immunization
Child Immunizations
Flu Shot
Blood Pressure Screening
Office
Immunizations
Blood Pressure Screening
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
Office Address:
934 I Street Burwell NE 68823
934 I Street Burwell NE 68823
Only existing patients can make appointments online. If you are a new patient please call (308) 346-5795 to make your first appointment.
Office Phone:
(308) 346-5795
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
15 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment