Dr. Mark Lobaugh

Obstetrics & Gynecology
Board Certified

           

medical   medical
     New patients:


Please plan to arrive in our office approximately 15 minutes before your appointment to fill out your new patient paperwork.

 

Also, please bring the following:

            - ID card

            - Insurance card (for insured patients only)

            - Referral forms (Tricare and Medicare/Medicaid)

            - Privacy Policy  

            - Patients Demographic  

            - General Release Authorization 

            - Compliance Assurance Notification

 

Returning patients:


If you have recently moved or changed insurance, please bring new ID and insurance card with you to your next appointment.

 

Privacy policy:
 

Dr. Lobaugh and his staff are committed to protecting your information. Upon arriving in our office, you will be given a copy of our privacy policy and a copy of our compliance assurance notification. To view our privacy policy, please click here. To view our compliance assurance notification, please click here

 

Please note that it is our policy to not disclose ANY information about you or your health records unless you specifically instruct us to do so in writing. If you would like us to leave phone messages with your spouse or other members of your household, please fill out a disclosure form.
You may view and print one by clicking here.

 

:to view or download these documents you need to
have adobe acrobat installed on your computer: