Patient Forms

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We have tried to make the new patient process as easy as possible by providing all of the forms required here on the LCFP website.  Descriptions of the forms follow.  Links to the forms appear to the right.  You can print them out, complete them and bring them to your first appointment at LCFP.  If you would like to complete your forms electronically, please click on the following link:

All new patients must complete one of the following:

  • Adult Patient Packet – your medical history, allergies and more.  Your input here will help us to treat you and to understand your current state of health.
  • Pediatric Patient Packet – medical history, allergies and more for children under 13.  Your input here will help us to treat the child and to understand the current state of health of the child.

Current patients needing to update a form, please select the appropriate form from one of the following: