Patient Forms
medical release formS
Please print and complete the REQUEST FOR MEDICAL RECORDS form if you would like to request your records from another physician to be sent to our office. Please print and complete the PATIENT REQUEST FROM MEDICAL INFORMATION FROM LAKESIDE NEUROLOGY PC to have your records sent to another physician.
Please print and complete the Individual Request for Access to Records for a copy of your individual records.
Please print and complete the Individual Request for Access to Records for a copy of your individual records.
| medical_record_requests.pdf |
Notice of Privacy Practices
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Note: You do NOT have to print this packet.
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New Patient Forms
| newpatientforms.pdf |
Please print and complete this form if you are a new patient. Bring the completed forms to your first appointment.
