For Patients

​​​​​​​​​​​​Lake Orion Rochester Oncology understand your time is valuable. For your convenience we have provided some useful forms that yo​​u can download and prepare in advance. Please bring your completed forms to our office at the time of your appointment.

Printable Forms

 

Intake Form​

Patient Insurance Information

Authorization To Release Medical Information

Health Screening Check List​

Authorization & Responsibility Agreement

Notice of Privacy Practices (HIPA​​A)

 

Additional resources

 

asco.orgasco.org

Rochester Crittenton Hospital

acponline.org

 

 

 

Drug Information – ChemoCare.com​

NCCN – National Comprehensive Cancer Network – NCCN.org​