Lincoln Memorial University
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LMU-DCOM Atrium

If you will be visiting the LMU Medical Clinic for the first time, please print out and complete the forms below to expedite the registration process.

Authorization to Release Information (pdf)

Patient Intake/Demographics Form (pdf)

Consent for Treatment (pdf)

Visit Agenda (pdf)

 

 

 

 

LMU Medical Clinic
423.869.7193 (phone)
423.869.7195 (fax)
 

 

Connect

423.869.3611 | 800.325.0900
6965 Cumberland Gap Parkway
Harrogate, TN 37752