Your health and the health of your family is one of your most important possessions. To care for it properly, it’s important to have an established relationship with a personal doctor and a group of professional healthcare providers.

Allergies occur when the immune system overreacts to a foreign substance such as pollen, food or pet dander. The presence of an allergen triggers the release of the body’s defenses, such as histamines, which cause the runny nose and itchy eyes with which many allergy sufferers are familiar. Allergies can cause symptoms that involve the skin, sinuses, airways, or digestive system. The severity of allergies varies from person to person and can range from minor irritation to life-threatening emergency. While allergies can’t be cured, a number of treatments can help relieve allergy symptoms.

The Family Medical Specialties allergy clinic determines which substances our patients may be allergic to through a comprehensive series of skin and blood tests. Once pinpointed, doctors and nurses specially trained in allergy treatment custom-formulate a serum specific to the patient’s allergy or allergies. Then, using a carefully planned immunotherapy program of gradually increasing doses of serum, the patient’s body builds up its own immunity to the allergen over time.

Properly formulating and mixing the serum is both art and science. Several members of the Family Medical Specialties staff have taken specialized training in allergy diagnosis and treatment, and our serums are prepared by a specialist in-house and administered through weekly shots in our clinic during regular clinic hours or through our patients’ chosen local clinic.

We take pride in supporting your child from all sides in their development by focusing on their mental, emotional, and physical health.

Carpal Tunnel Syndrome (CTS) is a common condition that causes pain, numbness, and tingling in the hand and arm. Carpal Tunnel Release is a surgical procedure that releases pressure off the median nerve.

We offer a micro-invasive procedure at our clinic: Carpal Tunnel Release with Ultrasound Guidance that allows for a faster recovery time over the traditional surgery technique. Most patients can return to work and activities within 3-6 days VS months with this procedure.

Learn more about the Carpal Tunnel Release with Ultrasound Guidance procedure here!

Our certified providers work with patients to make them feel and look their best. During a free consultation, they determine the best treatment based on each individual’s needs. We offer:


Botox is a nonsurgical treatment that helps temporarily improve moderate to severe wrinkles and frown lines in the forehead, and brow area. The simple treatment is done through small injections into the muscle to relax the tensed muscles. Results typically last three to four months.


Juvederm is an FDA-approved cosmetic filler that can last up to one year with one treatment. This treatment is used to correct wrinkles and folds as well as replace facial volume loss due to aging.

Juvederm can be used in facial and neck areas including nasolabial folds, lips, chin, neck, and more.


Pricing, Free Consultations, and Gift Certificates

For pricing of our cosmetic services or setting up a free consultation, please contact us.

Gift certificates for our cosmetic services are available to order by calling us at 308-995-4431.

We are certified to perform Department of Transportation (DOT) and CDL physical exams.

The Family Medical Specialties Diagnostic Lab offers a variety of services to help doctors determine our patients medical condition before recommending a course of treatment. The lab also performs DOT and non-DOT drug screens to detect drug or alcohol usage in saliva, or urine.

Among the services we offer:

  • DOT and non-DOT drug screens
  • Spirometer breathing tests
  • Heart Monitoring
  • – Event monitor
  • – Holter monitor
  • – EKG
  • – Treadmill stress tests

At Family Medical Specialties, family practice physicians are dedicated to providing primary care for patients of all ages. We offer services including scheduled appointments for routine preventive care such as annual physicals and well baby visits, but also leave room in our schedule to see patients for acute illnesses or injuries that may come up unexpectedly. Practitioners are trained to identify a wide range of medical issues from pediatrics to elder care. They listen carefully to patient concerns and recommend a course of treatment based on their examination. They take the time necessary to ensure that the patient clearly understands all instructions. In some cases, the course of treatment will require the involvement of another physician in the practice or referral to a specialist elsewhere, always with the understanding and agreement of the patient.

We understand that age brings special challenges, and we at Family Medical Specialties ensure that our patients’ care is suited to their needs. We promote health through prevention as well as the treatment of diseases and disabilities of our patients.

Physicians practicing internal medicine specialize in caring for adults. The internal medicine specialists at Family Medical Specialties are experienced in diagnosing and managing unusual, complex, or chronic medical conditions that may involve multiple problems, especially in older adults. They have special expertise in the use of drug therapies and other non-surgical options, and knowledge in subspecialties such as cardiology, infectious diseases, and pulmonology.

You won’t have to wait long for the results of most blood tests and other lab work at Family Medical Specialties. Our modern in-house laboratory is fully CLIA certified and accredited by the Commissioner of the Office of Laboratory Accreditation.

With a staff of well-qualified phlebotomists and technicians and a full complement of up-to-date laboratory equipment including a state-of-the-art blood chemistry analyzer, the FMS lab offers a variety of tests to help diagnose, monitor and treat our patients.

Among our laboratory services:

  • Blood chemistry, including liver and kidney function, blood sugar, cholesterol, etc.
  • Complete blood count
  • Thyroid Function
  • Urinalysis
  • Pro-time / INR coagulation tests
  • Flu
  • Arthritis
  • Pregnancy
  • Vitamin D
  • Flu, RSV, Strep
  • Arthritis, Anemia, Cardiac panels
  • Outside lab tests for specialty physicians

As a convenience to our patients, the laboratory opens at 7:30 a.m. weekdays and Saturday.

Our obstetric specialists monitor a woman’s health and evaluate the development of the fetus through pregnancy and delivery. Pregnancy is a time of tremendous change throughout a woman’s body, including increases in plasma and blood volume, adjustments in hormonal levels, and pulmonary activity. Regular checkups allow early identification and treatment of potential complications as well as presenting an opportunity to provide advice about normal but uncomfortable developments such as morning sickness or indigestion, swollen feet, and shortness of breath. Fetal assessments through ultrasounds or tests such as amniocentesis help detect anomalies and identify genetic diseases. Our specialists are also prepared for obstetric emergencies such as ectopic pregnancies and pre-eclampsia.

We understand that your pain is unique to you, and we will work with you to find the best regimen to bring you relief. Below and through the link below are some of the Pain Management services and procedures that we offer.

To discuss your pain and find a solution, give us a call at 308-995-4431 to schedule an appointment today!

Our Pain Management Services:

  • Botox® for Migraines
  • Botox® Treatment for Limb Spasticity
  • Carpal Tunnel Release with Ultrasound Guidance
  • Finger Contracture Release
  • Joint Injections
  • Medication Managed Migraine Treatment
  • Osteopathic Manipulative Treatment (OMT)
  • Sports Medicine
  • Trigger Point Injections

Our pediatric specialists promote the health and well-being of infants, children, and adolescents. They have expertise in evaluating newborn development and treating common childhood illnesses as well as identifying and addressing genetic issues and behavioral concerns. Children are not just smaller versions of adults, so appropriate choice of medications and other treatment techniques can be completely different. Children are minors and cannot make medical decisions for themselves, so the pediatrician must be able to communicate effectively to both the child and the parents, and sometimes the whole family.

An x-ray (radiograph) is a noninvasive medical test that helps physicians diagnose and treat medical conditions by exposing a part of the body to a small dose of ionizing radiation to produce images of the inside of the body. X-rays are the oldest and most frequently used form of medical imaging.

The latest advance in radiology is the digital x-ray. Our state-of-the-art Siemens Multix Fusion x-ray system uses no film at all and produces a highly-detailed x-ray image in as little as 10 seconds, making the entire experience more comfortable and convenient for our patients.

In addition, the digital x-ray allows our physicians to enlarge an area of interest for closer examination, easily store and retrieve images, and even transmit them electronically for review by another doctor.

Bone density scanning

Using an advanced bone densitometer, our registered and licensed radiologists can also perform bone density studies in our office. Bone density scanning is an enhanced form of x-ray technology that is used to measure bone loss. Bone densitometry is most often performed on the lower spine and hips. These are totally non-invasive and painless procedures that can help our doctors diagnose osteoporosis and other conditions.

Physicians specializing in sports medicine are primarily involved with prevention and treatment of injuries due to participation in sports or exercise. Common injuries include tendonitis, joint pain or dislocation, back injuries or muscle sprains and strains. Providing services for all active individuals from “weekend warriors” to school athletes, our goal is to recommend a course of action that will return an individual to full function as quickly as possible.

We offer telehealth services for our patients who are at home or are remote and would like to have a virtual visit with a provider.

This is a perfect alternative during our current time of practicing social distancing to prevent the spread of the coronavirus also named COVID-19.

You can schedule your virtual visit by calling us at 308-995-4431

What does this mean for you?

If you are practicing social distancing or staying home and need to talk to a provider, you can have a consultation with our very own Dr. Thelen within a Virtual Patient Room right from your phone, tablet or computer!

How do I get an appointment?

Give our clinic a call at 308-995-4431 to set up an appointment. It is the same process of setting up any other appointment.

What do I have to do?

You will be sent a link to join the virtual waiting room, and when Dr. Thelen is done with her previous patient, you will be let into a “Virtual” room where you will talk with Dr. Thelen through something very similar to FaceTime or Skype.

What type of visits can I do?

Most visits can be done over telehealth as long as a comprehensive physical exam is not required!

If you are needing a telehealth visit, give us a call at 308-995-4431 to get it scheduled!


“Very satisfied with services here. Lab workers are very caring and good, greeter nurse is so personable. Room nurses are very knowledgeable and helpful. Dr. Sandy can’t be beat all around! … Whole staff is rated an A.”

- Patient

“Dr. S Smith is a wonderful Dr. to my son. Always friendly and is always fast. Makes sure I know and understand what is wrong. Couldn’t find a better Dr. Thank you!”

- Parent of Patient

“Dr. Berney and his nurses are always very professional and polite. Thanks for always going above and beyond Brittany and Jolee!”

- Patient

“This is the only doctor office I will come to. I have always been treated with respect by all the doctors I have seen here…I drive 1 hour to come here – 2 hr round trip.”

- Patient



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