Forms

Medical-History-Form_LEC_9182023.pdf
Medication-Listing_LEC_9182023.pdf
Patient-Demographic-Information-Sheet_LEC_9182023.pdf
Medical-Records-Request_LEC_9182023.pdf
Lifetime Insurance Assignment and Authorization Form_LEC__9182023.pdf
Financial Practices Disclosure_LEC_9182023.pdf
Notice-of-Privacy-Practices_LEC_9182023.pdf