Forms

  • Forms

Click the Name of the Form to Download

 

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Providers

 

New Provider Form

 

Magellan

 

Tricare-Healthnet

 

Value Options

 

Day Sheet

 

Patients

 

Patient Intake Form

 

Credit Card Authorization

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About Us

LPL Medical Billing Services is a professional psychiatric billing firm dedicated to freeing you and your office staff to do what you do best, while we do the tasks necessary to support the financial growth and success of your practice.

The LPL Medical Billing mission is to maximize client reimbursement for services provided while maintaining the highest level of professional integrity and security.

Get in Touch

3606 John Simmons Ct,
Frederick, MD 21704

Tel: 866 541-0701
Tel: 301 831-8957
Fax: 301 831-8958

Email: lplmedbill@hotmail.com
Hours: Mon-Fri 8:30 am – 4:30 pm

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