Visit Preparation

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
• Picture ID
• 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 Symptom sheet, Registration, and Notice of Privacy Practices Form below, fill in the information, and bring the forms with you when you visit Lake After Hours.

Symptom Sheet

Registration Form

Notice of Privacy Practices