Patients
You now have seamless access to a comprehensive range of medical information, bringing together the expertise and services of our affiliated clinics and the advanced care offered at Lackey Memorial Hospital. This integration ensures that your health records and care details are conveniently consolidated, allowing for better coordination, enhanced communication, and a more holistic approach to your health.
Whether you’re visiting one of our clinics for routine care or receiving specialized treatment at the hospital, your medical information follows you, ensuring that your providers have the most accurate and up-to-date details to deliver personalized and effective care. This streamlined access empowers you to take charge of your health while fostering stronger connections with your healthcare team.
At Lackey Memorial Hospital, we are committed to making your healthcare journey as smooth and comprehensive as possible, prioritizing both convenience and quality in every aspect of your care.
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Patient Forms
For your convenience, we have provided the following forms to help you prepare for your initial visit to Lackey Memorial Hospital. Please print and complete all applicable forms and bring them with you to present at the reception desk when you arrive for your appointment.
Patient Information
Approved Representative
Conditions of Treatment
HIPAA Acknowledgement
Medicare Secondary Payer