Refer to OrthoNebraska

Clinic / Provider

Online Referral Form

Available 24/7/365. We will text your patient to schedule. It’s simple and easy. Or:

• Call (402) 609-3000 option 1, option 2 from 7:30 am – 5 pm Monday – Friday
• Fax (402) 858-6124

Physical or Hand Therapy

Have the patient call (402) 609-1750 to schedule their initial evaluation. They can either bring their therapy script with them, or you can fax it to (402) 609‑1715. This includes splinting services as well.

With all physical or hand therapy orders, please send an updated copy of:

• patient’s photo ID
• insurance card(s)
• demographics page

Imaging

Fax the Imaging order and details to (402) 609-1820. If the patient will be using insurance and the order is for a CT or MRI, please include the completed prior authorization. We’ll call the patient back to screen them, collect insurance information, and schedule.

Detailed Requirements

• MRI Scans must be ordered WITHOUT contrast.
• CT orders can be ordered WITH and WITHOUT contrast.
• All orders must include a diagnosis code
• If no pre-authorization is required, please note that on the order.
• MRI and CT scans must be authorized under the correct NPI and TAX ID numbers for OrthoNebraska Hospital (legal name Nebraska Orthopaedic Hospital LLC):
  • NPI: 1356345318
• With all imaging orders, please send an updated copy of:
  • patient’s photo ID
  • insurance card(s)
  • demographics page

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Continuity of Care

Looking for records or an update on the status of a patient you referred to OrthoNebraska?

Request Patient Records

While online requests are the quickest and easiest, you can also fax (402) 609-2174
or call (402) 609-2100 for additional assistance.

How quickly are faxed documents reviewed?

Most faxes are reviewed within one business day. 
Urgent items (post‑op concerns, STAT imaging) are handled with priority. If your fax is urgent (post‑operative concerns, infection, urgent imaging), please call us immediately after faxing to ensure rapid handling.

When are fax lines monitored?

Fax lines are monitored Monday – Friday during business hours. Items received after hours or on weekends are reviewed the next business day. 

Can patients fax documents directly?

Yes. Patients may fax any requested paperwork to  (402) 609-2174, including: 

• FMLA/disability forms 

• Personal medical records 

• Release‑of‑information forms 

Please include a callback number in case we need clarification. 

Patients can also upload secure documents through the Cerner patient portal or through the Luma portal.

What if I sent a fax but haven’t heard back?

If you haven’t received a response within 24–48 hours, please call us.
Delays can occur due to: 

• Missing pages 

• Illegible scans 

• Missing patient identifiers 

• Provider‑required review 

We can quickly confirm whether your fax was received. 

Do you accept digital or secure electronic submissions?

Yes. Depending on your situation, we may support: 

• Encrypted HIPAA‑secure email (for approved partners) 

• Direct EHR‑to‑EHR exchange 

• Patient portal uploads 

Ask us which options are available for your needs.