Linn Community Care




PATIENT FORMS

For your convenience we have available the forms you will need to fill out prior to
your first visit. Also there is a form for Patient Information to read prior to your
appointment. Please select all that apply, click below on the applicable forms,
download, print and fill-out.


LCC Patient Info.pdf

LCC Adult Medical History.pdf

LCC Children’s Medical History.pdf

LCC Patient Financial Application.pdf



The Cedar Rapids Community School District physical form must be filled out by a
physician, signed by a parent and turned into the respective school to participate in
sports in middle and high school.

School Physical Revised 1-12-09.pdf


319.730.7300

1201 3rd Avenue SE
Cedar Rapids, IA 52403

 

 

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