Documents

Our physicians accept most insurances. Referrals are not necessary unless required by the insurance carrier. Below are forms required for new patient visits, referral request forms and regulatory forms.

Title	Description
New Patient Form	If you are a new patient to Dr. Lagwinski please fill out this form
Notice of Privacy Practices	Please download and review the Notice of Privacy Practices information
New Patient Registration and Financial Policy	If you are a new patient for either doctor, please fill out this form
Release of Medical Records	If you want a copy of your medical records or want them sent to another provider please fill out this form

ADOBE ACROBAT is required to view these documents.