When you visit a Lake After Hours clinic, please be prepared to provide the following information:
Whether you have been a patient before
Patient and policy holder name, social security number, date of birth, address and telephone number
Current insurance card
Your co-payment or deductible amount, if applicable, is due at the time of service
Your primary care physician's name
List of your current medications
This information is needed to expedite your registration and to assist us in understanding the urgency of your visit. Thank you for choosing Lake After Hours for your healthcare needs.
To expedite your registration process, you may print the Chief Complaint/Consent Form, Registration, and Notice of Privacy Practices Form below, fill in the information, and bring the forms with you when you visit Lake After Hours.