MEDICAL OFFICE DOCUMENTS
ADOBE READER IS NEEDED FOR VIEWING
AND/OR PRINTING OF THE FOLLOWING DOCUMENTS.

1/ LASCMA-HOLLYWOOD: CLIENT FINANCIAL POLICY


2/ LASCMA'S NOTICE OF PRIVACY PRACTICES


3/ CLIENT'S RIGHTS & RESPONSIBILITIES


4/ LASCMA'S GUIDELINES FOR ON-LINE COMMUNICATIONS

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PATIENT FORMS
ADOBE ACROBAT READER IS ALSO REQUIRED FOR VIEWING &/OR PRINTING

1/ PERSONAL AND INSURANCE INFORMATION FORM

2/ MEDICAL HISTORY FORM

3/ RELEASE OF MEDICAL INFORMATION

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INFORMATIONAL POSTERS AND BROCHURES
ADOBE ACROBAT READER IS ALSO REQUIRED FOR VIEWING &/OR PRINTING

1/ LASCMA-HOLLYWOOD OFFICE BROCHURE

2/ INFORMATION ON "THE ADVANCE BENEFICIARY NOTICE"

3/ PREP SHEET FOR ADVANCED DIRECTIVES

4/ SAMPLE ADVANCED DIRECTIVES FORM
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LOS ANGELES SPECIAL CARE MEDICAL ASSOCIATES    
Quality, compassionate primary & specialty care in Los Angeles
1300 N Vermont, Ste.805, Los Angeles, CA 90027
(ph)323-953-2956       

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