Our registration process is designed to be quick and easy! To expedite your pre-operative process, you can pre-register by phone, in our office, or by downloading the forms online.
Download the forms below to print and fill out before your appointment, or call our office at (818) 637-7766. You can also stop by at any time before your appointment, during our office hours (8:00 a.m. - 5:00 p.m. Monday - Friday) to pre-register in person.
|Download Pre-Registration Forms|
Please feel free to contact us regarding any pre-registration questions. If you have not received a call by 2:00 p.m. the day before your surgery, please call the office at (818) 637-7766 and ask for the pre-op nurse.
The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule affords members the right to receive a notice that describes how health information may be used and disclosed and how to get access to this information. Lakeside Community Healthcare Medical Group is required to send a notice ("Notice of Privacy Practices") to members of our insured Health and Long Term Care plans.
Lakeside Community Healthcare Medical Group welcomes you to their website. All information that is collected on our website is done on a voluntary basis. All non-public personal information that you provide via our website will be used strictly for the purpose stated on the page where it is collected. Lakeside Community Healthcare Medical Group will not sell, license, transmit or disclose this information outside of Lakeside Community Healthcare Medical Group or our affiliated companies unless (1) required or permitted by law, (2) expressly authorized by you, or (3) necessary to enable Lakeside Community Healthcare Medical Group contractors or agents to perform certain functions for us. With all disclosures, we will disclose information consistent with applicable law and regulations and we will require the recipient to protect the information and use it only for the intended purpose.
"Personal Information" is defined as data that is unique to an individual, for example: name, address, member id, date of birth, or telephone number. There may be occasions where we may request personal information on our website in order to provide services or respond to your questions.
Feedback and questions are always welcome on our website. We have provided e-mail boxes for that purpose. Your feedback and questions will be shared with our customer service representatives and those employees most capable of addressing your feedback and questions.
Please note e-mail, like most, if not all, non-encrypted Internet e-mail communications, may be accessed and viewed by other Internet users, without your knowledge and permission, while in transit to us. For that reason, to protect your privacy, please do not use e-mail to communicate information to us that you consider confidential. If you wish, you may contact us instead via non-cellular telephone at the numbers provided on our Contact Us page or Member Services at 866-654-3471
We have made some locations on our website secure, so you can exchange non-public personal information with us. You will be provided appropriate instructions at each of these locations.
Lakeside Community Healthcare Medical Group's website may provide links to other websites, that are not owned or maintained by Lakeside Community Healthcare Medical Group, that we think might be useful or of interest to you. These other websites will open in a separate browser window. We are not responsible for the privacy practices used by other websites, the content, or accuracy of the other websites. These links to other non-Lakeside Community Healthcare Medical Group websites do not constitute or imply endorsement by Lakeside Community Healthcare Medical Group of these websites, any products or services described on these sites, or of any material contained in them.
Lakeside Community Healthcare Medical Group has adopted and adheres to stringent security standards designed to protect non-public personal information at www.lakesidecommunityhealthcare.com against accidental or unauthorized access or disclosure. Among the safeguards that Lakeside Community Healthcare Medical Group has developed for this site are administrative, physical and technical barriers that together form a protective firewall around the information stored at this site. We periodically subject our site to simulated intrusion tests and have developed comprehensive disaster recovery plans.
Lakeside Community Healthcare Medical Group may change this Statement from time to time without notice. This Statement is not intended to and does not create any contractual or other legal rights in or on behalf of any party.
All information provided on this web is "AS IS" without warranty of any kind, either express or implied warranties of merchantability, fitness for a particular purpose, or non-infringement. Some jurisdictions do not allow for the exclusion of implied warranties, so the exclusion above may not apply to you. The data set forth herein is for informational purposes only, and no warranty is made that the information is error-free. Please note that once you leave this site, either by using a link we may have provided for your convenience or by specifying your own destination, Lakeside Community Healthcare Medical Group accepts no responsibility for the content, products and/or service provided at these non-Lakeside Community Healthcare Medical Group locations. Lakeside Community Healthcare Medical Group does not control, endorse, promote, or have any affiliation with any other website unless expressly stated herein.
Lakeside Community Healthcare Medical Group will not be held liable to any party for any direct, indirect, special, or other consequential damages arising from any use of this website, or any linked website, including, without limitation, any loss of profits, business interruption, loss of programs or data on your equipment, or otherwise, even if we are expressly advised of the possibility or likelihood of such damages.
Information may be changed or updated without notice. Lakeside Community Healthcare Medical Group has no obligation to update information presented on this website, so information contained herein may be out of date at any given point in time. Lakeside Community Healthcare Medical Group may also make improvements and/or changes in the services and/or programs described in this information at any time without notice.