PART TWO:

OUR FAMILY CARING FOR YOUR FAMILY

HAVE YOU SCHEDULED YOUR FIRST APPOINTMENT?​

​Have you been accepted as a new patient? Please fill out the paperwork below before your first appointment at Lakeside Clinic!

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*NOTE: These forms are only for patients who have already submitted an application (see above) AND have received a phone call from our clinic to schedule their first appointment*

PART ONE:

BECOME A NEW PATIENT​

​​Do you need a primary care physician? Please fill out our short application with the link below!

Please Note- We do not accept the following insurance plans:

Medicaid, Tricare Prime, Cigna HMO, United Healthcare HMO, Ambetter

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