Plan Your Visit
Surgery Resources
INTAKE HISTORY FORM
Please fill this form to the best of your ability. Download
DEMOGRAPHICS FORM Download
FINANCIAL POLICY Download
Additional forms and documents that need to be reviewed
Advance-Beneficiary-Notice (pdf) Download
Benefits-Assignment (pdf) Download
Medical-Record-Release-Inbound (pdf) Download
Request-to-Amend-Medical-Record (pdf) Download
Surprise-Billing-Acknowledgment-Form (pdf) Download
Telehealth-Consent-Form (pdf) Download
Self Pay Price-List (pdf) Download
Financial Policy (pdf) Download
Resources
Downloads
Caregiving for a Loved One With Lung Cancer (pdf)
Download
Lung Cancer Screening Brochure (pdf)
Download
Breathe Easy Guide (pdf) Download
Immunotherapy for Lung Cancer (pdf) Download
Living With Lung Cancer (pdf) Download
Intake History Form (pdf) Download
Faqs About Health Plan (pdf) Download