--- title: Patient Forms & Resources | Lake City Area Medical Center description: Access LCAMC patient resources including information forms, service complaint form, sliding fee scale chart, and notice of privacy practices. Download here. --- - [+1 (970) 944-2331](tel:+1%20(970)%20944-2331) - [LCMedCenter@lcamc.net](mailto:LCMedCenter@lcamc.net) [![Lake Fork Health Services District](https://www.lcamc.net/hs-fs/hubfs/Lake%20Fork%20Health%20Services%20District.png?width=250&height=104&name=Lake%20Fork%20Health%20Services%20District.png "Lake Fork Health Services District")](https://www.lcamc.net/?hsLang=en) - Our Services Show submenu for Our Services - [Family & General Medicine](https://www.lcamc.net/family-general-medicine) - [Dentistry](https://www.lcamc.net/family-dentistry) - The Clinic Show submenu for The Clinic - [Moseley Healthcare Complex](https://www.lcamc.net/moseley-healthcare-complex) - [Our Team](https://www.lcamc.net/meet-our-team) - [Board of Directors](https://www.lcamc.net/board-of-directors) - [Donate](https://www.lcamc.net/donate-support) - Patient Resources Show submenu for Patient Resources - [Health & Wellness](https://www.lcamc.net/health-wellness-blog) - [Forms and Downloads](https://www.lcamc.net/patient-forms-resources) - [Careers](https://www.lcamc.net/careers) [Contact Us Click to Contact Us](https://www.lcamc.net/contact-us?hsLang=en) Close - Our Services Show submenu for Our Services - [Family & General Medicine](https://www.lcamc.net/family-general-medicine) - [Dentistry](https://www.lcamc.net/family-dentistry) - The Clinic Show submenu for The Clinic - [Moseley Healthcare Complex](https://www.lcamc.net/moseley-healthcare-complex) - [Our Team](https://www.lcamc.net/meet-our-team) - [Board of Directors](https://www.lcamc.net/board-of-directors) - [Donate](https://www.lcamc.net/donate-support) - Patient Resources Show submenu for Patient Resources - [Health & Wellness](https://www.lcamc.net/health-wellness-blog) - [Forms and Downloads](https://www.lcamc.net/patient-forms-resources) - [Careers](https://www.lcamc.net/careers) - [+1 (970) 944-2331](tel:+1%20(970)%20944-2331) - [LCMedCenter@lcamc.net](mailto:LCMedCenter@lcamc.net) [Contact Us](https://www.lcamc.net/contact-us?hsLang=en) # Forms & Downloads ## Patient Information Form Provide your personal, contact, and medical details so we can deliver the best care.  [Download Click to Download](https://www.lcamc.net/hubfs/LCAMC_Patient-Information-Form.pdf?hsLang=en) ## Service Complaint Form Share feedback or concerns about your experience so we can improve our services.  [Download Click to Download](https://www.lcamc.net/hubfs/LCAMC_Service-Complaint-Form.pdf?hsLang=en) ## Sliding Fee Scale Chart Review income-based discounts that make healthcare more affordable for patients.  [Download Click to Download](https://www.lcamc.net/hubfs/LCAMC_Sliding_Fee_Schedule_2024.pdf?hsLang=en) ## Notice of Privacy Practices Learn how LCAMC protects your medical information and your rights as a patient. [Download Click to Download](https://www.lcamc.net/hubfs/LCAMC_Notice-of-Privacy-Practices.pdf?hsLang=en) ## Colorado Open Records Access & Retrieval Public documents and records will be made available upon request to members of the public unless protected by an exception. Requests will be reviewed to ensure that documents and records provided do not contain information that is protected under HIPPA or other statutes or regulations. [Download Click to Download](https://www.lcamc.net/hubfs/Colorado%20Open%20Records%20Access%20and%20Retrieval.pdf?hsLang=en) [![Lake Fork Health Services District - Lake City Area Medical Center](https://www.lcamc.net/hs-fs/hubfs/Lake%20Fork%20Health%20Services%20District.png?width=250&height=104&name=Lake%20Fork%20Health%20Services%20District.png "Lake Fork Health Services District - Lake City Area Medical Center")](https://www.lcamc.net/?hsLang=en) AFTER-HOURS TRIAGE SERVICE NUMBER: 970-784-6682 If you have a medical concern that you aren’t sure can wait until tomorrow, call the after-hours number to reach one of our LCAMC providers. They will help you decide the best course of action. For true medical emergencies, call 911. [Follow us on Facebook](https://www.facebook.com/lakecitymed/) [Donate to the Lake City Area Medical Center](https://www.paypal.com/donate/?hosted_button_id=9UQ5ELNX827YE) ##### Clinic Hours ###### September 28 - May 31   Monday to Friday: 9.00 am - 5.00 pm Saturday & Sunday: CLOSED For urgent, but NOT emergency, concerns, call 970-784-6682 and you will be directed to the Provider on call. ##### Information Address: 700 North Henson Street PO Box 999 Lake City, CO 81235 Main Phone (Non Emergency): +1 (970) 944-2331 Email Address: [LCMedCenter@lcamc.net](mailto:LCMedCenter@lcamc.net?subject=Website%20Inquiry) Our clinic is committed to making our website accessible to all individuals, including those with disabilities. We strive to follow the Web Content Accessibility Guidelines (WCAG) and are working to improve usability for everyone. If you experience any difficulty accessing information, please call us at [970.944.2331](tel:970.944.2331) or email [LCMedCenter@lcamc.net](mailto:LCMedCenter@lcamc.net). Copyright © 2026 Lake City Area Medical Center, Lake Fork Health Services District. All Rights Reserved.