Forms and Policies

Forms and Policies

Medical Forms and Policies

Patient Information:

We encourage you to make the most of your experience with our physicians and staff.  In order to best serve you, please arrive 15 minutes before your scheduled appointment.

 

Please bring the following:

  • Any medical records you may have
  • A list of patient's allergies, if any
  • A list of questions to discuss with doctor
  • The patient's insurance cards and information
  • The patient's co-payments, deductibles, or co-insurance
  • The pharmacy used by the patient

New to the practice?

Please complete the following forms and bring with you to your appointment.

 

Click here for New Patient Forms

 

Returning Patient?

Please complete the following form if you have had any changes in contact information and/or insurance.

 

Click here for Returning Patient Changes Form
 



SEP

20

Family Birth Center Classes

Breastfeeding Support Group

11:30AM - 12:30 PM


SEP

20

Adult Wellness

10th Annual Girls' Night Out

5:30PM - 9:00 PM


SEP

21

Family Birth Center Classes

Happiest Baby on the Block / Baby Care Basics

7:00PM - 9:00 PM

Sep 6, 2017

LCMH to Begin Offering Cherished Angel Perinatal Loss Support Group in September

Aug 31, 2017

LCMH Honored With Mission: Lifeline Silver STEMI Level Recognition Award

Aug 29, 2017

Save the Date: 10th Annual Girls’ Night Out Event

 
 

My name is Charlene Heery. Dr. Richard Farrell referred me to see Debbie Murray R.N., B.S.N., C.D.E. at the D...

 
 
Find Us On:

Hospital Report Card | Corporate Compliance | Privacy Practices | Site Map

For Physicians For Employees Board Login
 
ViewBlog