The Lung & Sleep Clinic of Alaska, Inc is now CLOSED for business.   We are only providing medical records and closing out accounts.

100 E.15th Ave
Conshohocken, PA   19428
email:  LSCFHL@gmail.com
tel: 610-238-5331 | Fax: (610) 825-4182  facebook linkedin

PATIENT REGISTRATION

 

New Patient Information Packet: (PDF Format)
• New patient form
• Consent for treatment
• Consent to release info to family and friends
• Financial policy
• Authorization to use and/or disclose health info

Please download and complete all documents, and bring to office on the day of your appointment.

NOTE: PDF files require Acrobat Reader to view.
If you do not have Acrobat Reader, you can download a free copy here.

 

 

lung & sleep clinic