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Lake County Medical Group

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Posted on March 27, 2017March 28, 2017 by admin

New patient forms

We encourage you to fill out these forms prior to arrival so you are not hurried or without the information on hand.

Registration Forms New Patients
Record Request
Power Of Attorney
HIPPA

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Contact Info

Email: LCMG203@gmail.com
Tel: (847) 566-0300
Fax: (847) 566-2818

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1170 E Belvidere Rd
Siute 202
Grayslake, IL 60030

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Registration Forms New Patients
Record Request
Power Of Attorney
HIPPA

CONTACT

1170 E Belvidere Rd
Siute 202
Grayslake, IL 60030

Email: LCMG203@gmail.com
Tel: (847) 566-0300
Fax: (847) 566-2818

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