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jim@lockwoodlegal.com

The Lockwood Legal Group

Serving clients in Indiana, Michigan, and Ohio

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downloads

Below are links allowing clients to download and print forms which might be necessary for your particular case. Some forms are available in both Microsoft Word (DOC) format and Adobe Portable Format (PDF). But, some are only available in PDF.

Health Information Privacy Authorization (HIPA) DOC

Health Information Privacy Authorization (HIPA) PDF

Medicare Information Release PDF

Medicare Proof of Representation PDF


 

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    26418 Olympic Club Drive

    South Bend, Indiana 46628

    jim@lockwoodlegal.com

    574-303-9005

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