Patient Enrollment Form

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Thank you for choosing us for your healthcare needs! We’d like to tell you a little bit about how we are investing in your health.
You may be familiar with the term Electronic Health Record, or EHR. An EHR is a software system that stores all of your health information documented by a healthcare organization and provides tools to help caregivers provide you with informed, safe care. An EHR even lets us share your information with you in electronic format.

We want you to know that we are using the leading EHR for rural healthcare organizations which is also used by nearly 500 rural hospitals across the country. What does that mean for you?

  • Have Confidence In Your Care. Authorized employees of our organization—including nurses and doctors—are able to see all of your relevant personal and clinical information. This means two things: we will rarely ask you the same question twice, and our doctors and nurses will have all of the information they need at their fingertips to treat you safely and efficiently. Informed care is better care.
  • Less Waiting, More Caring. Because our EHR supports the way that doctors and nurses provide care to you and all other patients, you will have to wait less for care and can be sure that we are providing you the most efficient, highest quality care available anywhere.
  • Better Decisions on Your Behalf. Our doctors and nurses have access to tools and information that will enable our doctors and nurses to make the best possible care decisions based on your unique situation. For instance, doctors will be alerted any time a potential treatment conflicts with one of your documented allergies.
  • Take Control of Your Health. Because your clinical information belongs to you, we are able to make your clinical information to you in two different ways.
  • Request An Electronic Copy. An electronic copy of your clinical record can be provided to you at your request – just ask your provider. You may want to retain this information for your records—or give it to a future caregiver.


If you have any questions about this information or about the care you have received, don’t hesitate to ask your nurse, doctor or any administrator. We will continue to invest in better care for you and all of our patients and look forward to being your healthcare partner for years to come.

Note: The new computer system will assist Greeley County Health Services in meeting federal regulations for the HITECH Act, but most importantly this system will help our staff to better care for our patients. In order to do this effectively, we will need to enter or clarify patient information at your next visit to the clinic. Please use the questions on this form to help guide you in collecting that information.

WKFINThe Western Kansas Frontier Information Network (WKFIN) – Rural communities working together to improve the health of our residents and our communities through a continuous network of healthcare providers with information systems and the flexibility to adapt to the ever changing healthcare environment.   Continue our role as rural healthcare leaders in the region and the state in an effort to share our experience with other rural health systems.

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