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
 



AUG

29

Adult Wellness

Tai chi

10:00AM - 11:00 AM


AUG

31

Support Groups

Breast Feeding Morning Support Group

11:30AM - 12:30 PM


AUG

31

Support Groups

Breast Feeding Evening Support Group

7:00PM - 8:00 PM

Aug 5, 2016

LCMH Opens its Doors to its First Progressive Care Unit

Jun 10, 2016

LCMH Offers Summer Bereavement Program for Adults in the Community

May 18, 2016

Evergreen Park Resident Finds Hope During a Difficult Time through LCMH Hospice Program

 
 

My name is Jean M. Smith and I’m writing this letter to acknowledge two of your employees. My husband,...

 
 
Find Us On:

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

For Physicians For Employees Board Login
 
ViewBlog