TriageRecognized by
Rural Primary Care
Forty miles from
the nearest hospital.
Zero compromise
on care.
Walk in. Call ahead. Connect by video. Whatever brings you through the door — we have time for you.
1,400+
Patients served
14 yrs
In this community
$0
Minimum visit fee
Walk-ins welcome today.
Mon–Fri 7:30 am – 5:30 pm
What We Offer
14 Years
Serving this county
1,400+
Active patients
Sliding Scale
From $0 per visit
Telehealth
Evening & weekend hours
40-Mile
Service radius
Hablamos
Español también
Real Questions
The things people actually want to know before they drive out here.
Patient Question
"Do I need an appointment, or can I just drive up?"
Drive up. The gravel lot is always open, and so are we for walk-ins Monday through Friday, 7:30 to 5:30. If you'd rather call ahead — (308) 555-0142 — we'll hold a slot so you're not sitting in your truck. Same-day appointments fill fast on Mondays, so walk-in early if you can. Either way, you won't be turned away.
What to Bring on Your First Visit
A one-page checklist: ID, insurance card (or not — see below), a list of current medications, and any questions you've been putting off.
Patient Question
"I'm forty minutes out. Can I see the provider without driving in?"
Yes — for follow-ups, medication refills, blood-pressure checks, and a lot of sick visits, a video call works just fine. You'll need a phone or tablet with a camera, a decent signal (most county roads have enough), and five minutes to set up the link we text you. We use a HIPAA-secure platform — nothing to download, nothing to install. If the visit needs hands, we'll tell you honestly and get you in.
Telehealth Setup in 3 Minutes
A plain-spoken video showing exactly how to join a visit from a smartphone — filmed in the clinic waiting room, not a studio.
Patient Question
"What if I don't have insurance — or it ran out last month?"
We see everyone, insured or not. Our sliding-scale fee is based on household income and family size — the federal poverty guidelines, not our judgment. A family of four earning $38,000 a year might pay $20 for a visit. A single person between jobs might pay $5. We'll walk you through the form at the front desk; it takes about four minutes. Nobody is asked to prove hardship twice.
Sliding-Scale Fee Worksheet
A printable chart showing estimated visit costs at different income levels. Fill it out at home so you know what to expect before you arrive.
Patient Question
"My insulin prescription is from a doctor in the city. Can you manage that here?"
Absolutely. Chronic disease management — diabetes, hypertension, thyroid, COPD — is the core of what we do. We can transfer your prescriptions, coordinate with specialists by telehealth (we have a cardiologist in Omaha on-call Tuesdays), and order labs at the county hospital draw station so you're not making two trips. If your insulin needs adjustment, we'll do it here and follow up by phone.
Chronic Care Coordination Guide
How we work with city specialists, what to bring when transferring care, and how your records move between providers.
Patient Question
"Can I see the same provider every time, or is it whoever's available?"
We have one full-time nurse practitioner — Marlene Vásquez, FNP-C — and a part-time PA who covers Thursdays. When you register as a patient, you're assigned to Marlene. She'll know your chart, your family, and the fact that you're allergic to sulfa before you sit down. On the rare day she's at a training, Dr. Kowalski covers and she briefs him on your case. You are not a number here.
Meet the Care Team
A short PDF introducing Marlene, the PA, and the two front-desk staff who keep everything running. Names, credentials, and a sentence about each.
Free Resources
Take these with you.No sign-up required.
Printable, plain-language resources made for patients who don't have time for medical jargon.
New Patient Welcome Guide
Everything before your first visit: what to bring, how fees work, how to reach us after hours, and a map of the parking lot. Forty-three pages of plain English — or skip to the page you need.
Telehealth Setup Checklist
A short video — filmed on an actual county road — showing what signal strength you need and how to join a visit from your phone.
Sliding-Scale Fee Chart 2026
Know your estimated cost before you arrive. Based on household income and family size — no surprises at the front desk.
Seasonal Vaccine Schedule
Spring through fall: flu shots, shingles, pneumonia, and travel vaccines. Dates, walk-in windows, and what to bring.
Medication Assistance Programs
A curated list of manufacturer programs, state pharmacy assistance, and how our staff can help you apply — in one afternoon.
Under One Tin Roof
A clapboard clinic at the
edge of a wheat field.
Triage opened in 2012 with one exam room, a donated ultrasound, and a conviction that rural patients deserve the same standard of care as anyone in a city. We've added two more rooms and a telehealth suite since then. The conviction hasn't changed.
Our patients are ranchers who drive forty minutes on gravel, elderly couples whose pharmacy is a mail-order envelope, and young mothers choosing between a copay and a tank of diesel. We know your names. We know your charts. We have time.
Laceration repair & minor procedures
In-house labs & point-of-care testing
Chronic disease management
Specialist telehealth coordination
Pediatric & family care
Behavioral health referrals
"You drove forty minutes to get here. We're not going to rush you."
— Marlene Vásquez, FNP-C
Get Started
The New Patient Guide
answers the rest.
Forty-three pages of plain English: fees, hours, how telehealth works, what to bring, and a direct line to our front desk. Free, printable, yours.