17607 Gold Plaza, Omaha, NE
Patient Portal

New Patient Forms

Get a Head Start on Your First Visit

The Urology Cancer Center would like to welcome you to our office. We would like to make your experience at our center as convenient and enjoyable as possible.

We do ask that you plan to check in 15 minutes prior to your scheduled appointment time so we can complete your registration. Dr. Nordquist uses this first visit as an educational opportunity and a lot of information is provided that may be helpful in the future. Typically, the first visit can go for an 1-2 hours; or more and almost everyone finds the information to be very valuable. It can be extremely beneficial to have others involved; so we encourage you to bring a someone with you, (spouse, neighbor, friend) or other family member to attend this visit with you.

Please bring your insurance cards, drug prescription card, list of current medications, and a photo ID with you to check-in. If you have any questions please contact us at (402)-991-8468 and we will be happy to assist you.

New Patient Financial Responsibility Form


New Patient Information Form


Patient Medication and Allergies