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Scheduled appointments:
Monday - Friday from 8:30AM - 5:00PM | Closed Saturday & Sunday
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Attention Parents
Authorization for Release of Information
Behavioral Health Registration Form
Communications Consent
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Flu Immunization Questionnaire
Immunization Statement
Initial History Questionaire
OCC Patient Registration Form
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Patient Satisfaction Survey
Appointment Information
Date of Appointment:
Purpose of the visit?
Select an Option
Sick Visit
Well Visit
Physician you saw?
Select a Provider
Joseph Ellison, MD
John Vann, MD
Lisa Whitcomb, MD
General Information
It was easy getting through our phone lines to schedule an appointment.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
I was able to make an appointment for a date and time that was reasonable and convenient for me.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
The registration and waiting areas were welcoming, clean and comfortable.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
The telephone triage nurse AFTER office hours offered helpful advice and all of my questions were answered to my satisfaction.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
The telephone triage nurse DURING regular office hours offered helpful advice and all of my questions were answered to my satisfaction.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
The personal manner of the following staff was courteous, respectful, friendly, and compassionate. All of my questions or concerns were well addressed.
Phone/Appointment Scheduling
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
Registration
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
Assistant who prepared my child for the examination
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
Vaccine/Injection nurse
Very Satisfied
Satisfied
No Opinion
Unsatisifed
Very Unsatisifed
Laboratory/Blood Drawing Staff
Very Satisfied
Satisifed
No Opinion
Unsatisifed
Very Unsatisifed
Physician
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
Business Office
Very Satisfied
Satisfied
No Opinion
Unsatisifed
Very Unsatisifed
The professional or technical skills of the following staff were thorough, personable and competent:
Phone/Appointment Scheduling
Very satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
Registration
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
Assistant who prepared my child for the examination
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
Vaccine/Injection nurse
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
Laboratory/Blood Drawing Staff
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
Physician
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
Business Office
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
Overall, I was satisfied with:
The length of time I waited to get an appointment.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
The length of time I waited in the waiting room.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
The length of time I waited for the physician in the examination room.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
The length of time I waited for the laboratory.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
The length of time I waited for vaccines.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
The thoroughness of the visit and opportunity to have all of my concerns and questions addressed.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
The overall medical care my child received at Omaha Children's Clinic.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
I would recommend Omaha Children's Clinic to others.
Very Satisfied
Satisfied
No Opinion
Unsatisfied
Very Unsatisfied
Please describe any exceptional experiences, either positive or negative. Include staff/Physician names whenever possible.
Please include any additional or general comments.
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