O N L I N E PAT I E N T P O R TA L E N R O L L M E N T and authorization Lexington Medical Center is excited to announce the launch of LMC FollowMyHealth, the hospital’s new online patient portal. MAIL COMPLETED FORM TO LMC FollowMyHealth is an easy-to-use online tool that allows you to view lab and test results, review office visit summaries and make bill payments. In the future, patients with an LMC FollowMyHealth account will be able to request appointments and prescription refills, and send secure messages to their doctors’ offices. For questions regarding the new online patient portal, please call (888) 670-9775 or email [email protected]. LMC Physician Network Services ATTN: LMC FollowMyHealth 2988 Sunset Boulevard West Columbia, SC 29169 AUTHORIZATION TO SEND LINK TO PATIENT PORTAL ___________________________________________________________________________ Patient’s Full Name ___________________________ Date of Birth ____________________________________________________________________________________________________ ______________________________________ Phone Number ____________________________________________ Preferred Email (Please print clearly) Last Four Digits of Social Security Number (This is your Invitation Code) I authorize Lexington Medical Center to use the email address provided above to send me a link to LMC FollowMyHealth. I understand that use of the online patient portal is voluntary and not mandatory. I understand that Lexington Medical Center and its doctors can revoke access to LMC FollowMyHealth (for patients and their proxies) at any time and for any reason. lexington medical center physician practice/urgent care patient portal link request I am a patient of the following Lexington Medical Center physician practices/urgent cares. Please check the box next to each physician practice/urgent care that you would like to connect to online. (For your convenience, please see the listing of Lexington Medical Center physician practices and providers.) £ Batesburg–Leesville Family Medicine £ Carolina Pulmonary £ Chapin Family Practice £C hapin Women’s Care £C arolina Shoulder & Knee Specialists £ Carolina Women’s Physicians £ Harbison Medical Associates £ Internal Medicine Associates £ Lakeside Pediatrics £ Lexington Cardiology £ L exington Cardiovascular Surgery £ L exington Endocrinology £ Lexington ENT & Allergy £ Lexington Family Practice Ballentine £ Lexington Family Practice Irmo £ Lexington Family Practice Lake Murray £ Lexington Family Practice Lexington £ Lexington Family Practice Northeast £ Lexington Family Practice West Columbia £ Lexington Family Practice White Knoll £ Lexington Internists £ Lexington Interventional Pain Management £ Lexington Medical Associates £ Lexington Medical Specialists £ Lexington Medical Center Swansea Internal Medicine £ Lexington OB/GYN £ Lexington Orthopaedics £ Lexington Pediatric Practice £ Lexington Plastic Surgery £ Lexington Rheumatology £ Lexington Sleep Solutions £ Lexington Surgical Associates £ Lexington Women’s Care £ Mid Carolina Internal Medicine £ Palmetto Family Medicine £ Peterson & Plante Internal Medicine Associates £ River Bluff GYN Lexington Medical Center (LMC) Urgent Cares: £ LMC Batesburg–Leesville £ LMC Chapin £ LMC Gilbert £ LMC Irmo £ LMC Lexington £ LMC Swansea £ Riverside Surgical Group £ Sandhills Family Medicine £ Sandhills Women’s Care £ South Carolina Obesity Surgery Center £ Southeastern Neurology & Memory Clinic £ Southeastern Orthopaedic and Sports Medicine £ Southern Surgical Group £ Spring Valley Family Practice £ Sumter Cardiology £ The Columbia Medical Group £ Vista Women’s Healthcare £ Women’s Health & Diagnostic Center ——————————— Available for Bill Pay Only: £ Lexington Oncology £ Lexington Radiation Oncology £ Lexington Radiology Associates £ Medical Center Hospitalists £ Other_______________ ___________________ ___________________ You will receive a separate email invitation from each of your selected physician practices/urgent cares. __________________________________________________________________________________________________________ Signature of patient or patient’s parent, legal guardian or authorized representative __________________________________________________________________________________________________________ ______________________________________ Date ______________________________________ Printed name of patient or patient’s parent, legal guardian or authorized representativeRelationship to patient Physician Practices & Providers If you are a patient of any other Lexington Medical Center physician practice or provider, you can connect your online medical record with these practices or providers by listing them on your LMC FollowMyHealth Online Patient Portal Enrollment Authorization form in the space provided. You will receive a separate email invitation from each listed physician practice or provider. Click the link provided in each email to connect them to your secure online account. ———————————— ——————————————— Family Medicine ———————————— Internal Medicine ———————————— Obstetrics/Gynecology Lexington Family Practice Northeast Brian P. Cline, MD Jeremy R. Crisp, MD April K. Getz, MD Henry J. Marion, MD Michael L. Nunnery, MD Robert Christensen, MPAS, PA-C The Columbia Medical Group Erik S. Crook, MD Edgar G. Deschamps III, MD Ruben L. Mayer, MD Kim Meadows, MD Stacie K. Moore-Bowens, MD Huong Thi Phan, MD Bradley W. Word, MD Jennifer Gillis, NP Carolina Women’s Physicians Allyson I. Jones, MD Elizabeth S. Lambert, MD Samantha F. Morton, MD Julie A. Reed, MD Jennifer A. Greene, MD, FACOG Amy McMillan, PA-C Harbison Medical Associates Gerald A. Fishman, MD Gregory K. Fulcher, MD Teresa Hathcox, FNP Chapin Family Practice J. Ford Bowers, MD Daniel H. Dunbar, MD Joseph A. Evans, MD James P. Phillips, MD J. Manuel Venegas, MD Kristen Emptage, NP Betty Pelletier, NP Lexington Family Practice Ballentine Rachel Callis-Wolfe, MD William J. Fravel, MD Scott A. McKay, MD Julie Edwards, FNP Lexington Family Practice Irmo G. Michael Beaver, MD Robert M. Callis, MD Laura Jackson, MD Daniel R. Shumpert, MD Johnny Y. Smith, MD Elizabeth Boison, CFNP Cynthia D. Hutson, PA-C Lexington Family Practice Lake Murray Clarence E. Coker III, MD Kimberly P. Hicks, MD Carl J. Shealy, MD Leslie K. West, MD Kelley Womack, PA-C Lexington Family Practice Lexington W. Scott Dacus, MD William T. Korman, MD David P. Lyle, MD Henry Martin Jr., MD Jayne Koehler, MS, PA-C Lexington Family Practice West Columbia John H. Fisher, MD R. Kevin Griggs, MD Michael P. Harris, MD J. Allan Hicks, MD Gregory J. Konduros, MD Gail Armstrong, NP Dianne Bretz, NP Jeff Kerby, PA Monica Whitehead, NP Lexington Family Practice White Knoll Keith D. Lobel, MD Terry L. Nagel, DO Kevin Shalkham, MD Alison Sallings, NP Palmetto Family Medicine Sarah S. Cottingham, MD Russell E. Ditzler, MD Katie Nattier, PA Travis Stuckey, PA Sandhills Family Medicine Stacie J. Boyer, MD J. Edward Golay, MD Philip D. Rhine, MD Spring Valley Family Practice James H. Altieri, MD Eva A. Imperial, MD Rutkumar P. Jani, MD Internal Medicine Associates John G. Black, MD, FACP Stuart L. Cooper, MD Raymond E. Diamond, DO Richard P. Murray, MD Gilbert L. Rogers, MD Kirk R. Steptoe, MD Christopher M. Wicker, MD Lexington Internists Misty P. Bost, MD Elizabeth F. Mathias, MD Lexington Medical Center Swansea Internal Medicine Rita N. Patel, MD Lexington Medical Associates J. Russell Williams, MD Mid Carolina Internal Medicine Hampton S. Alford Jr., MD Edwin R. Brown, MD Gwendolyn C. Galphin, MD Vijay A. Koli, MD John M. Lazaro, MD Brent M. Powers, MD Peterson & Plante Internal Medicine Associates Nehal T. Desai, MD Jeffery C. Ford, MD G. Stuart Hooks, MD Kristina P. Hursey, MD Jaiprakash N. Patel, MD Cassandra Patterson, MD Alan C. Peterson Jr., MD Paul A.J. Plante, MD Chapin Women’s Care Evelyn R. Tucker, MD, FACOG George W. Watt, MD, FACOG Lexington OB/GYN Michael L. Ervin, MD Janis E. Keeton, MD Lexington Women’s Care James E. Estes, MD G. Patrick Gallery, MD William E. Plyler, MD O. Henderson Powell Jr., MD Jaime Brown Price, MD Robert W. Silverio II, MD Valerie A. Skinner, MD David J. Stallard Jr., MD Frederick B. Thompson, MD Miriam A. Wilcox, MD Susan Wells, PA Robin Pruette, NP Misty Sawyer, NP Donna Andrews, CNM Tonya Bridges, CNM Deborah Holland, CNM Beverly Nedbalek, CNM Terre Shankle, CNM River Bluff GYN M. Bert Hutchinson III, MD (Continued on back) ——————————— Obstetrics/Gynecology Cont’d. Sandhills Women’s Care Douglas M. Addy, MD Thomas C. Austin, MD Crystal Y. Johnson, MD Vista Women’s Healthcare Harold A. Moore, MD John H. Moore, MD Kathryn L. Moore, MD Abigail Scheuer Smith, MD Beverly Summer, NP Women’s Health & Diagnostic Center Janice L. Bacon, MD Gregory E. Lyman, MD Charles F. Shipley III, MD ——————————— Pediatric Medicine Lakeside Pediatrics Douglas E. Luberoff, MD Lexington Pediatric Practice Lillie E. Bates, MD, FAAP Dwight R. Reynolds, MD, FAAP Caroline B. Webber, MD, FAAP Caleb E. Wheeler, MD, FAAP Ann Alexander, FNP ———————————— Bariatric Surgery South Carolina Obesity Surgery Center Marc C. Antonetti, MD, FACS James D. Givens, MD, FACS S. Gray Hughes, MD, FACS Glen F. Strickland, MD, FACS ———————————— Cardiac Surgery Lexington Cardiovascular Surgery Jeffrey A. Travis, MD Steven W. Marra, MD, FACS Victor Gomez, PA-C ———————————— ENT Surgery Lexington ENT & Allergy Andrew P. Battiata, MD Melanie W. Seybt, MD Edward A. Woody, MD ——————————— General Surgery ———————————— Medical Specialists ———————————— urgent care facilities Lexington Surgical Associates E. Myron Barwick, MD, FACS Paul D. Smith, MD, FACS Lynn M. Tucker, MD, FACS Charles W. Harmon, MD, FACS Richard J.C. Felton, MD, FACS Carolina Pulmonary Francis M. Dayrit, MD, FCCP Sarkis S. Derderian, DO Paul M. Kirschenfeld, MD M. Christopher Marshall, MD Mohamed S. Soliman, MD Matthew Haigh, NP Lexington Medical Center Batesburg-Leesville Riverside Surgical Group Marc C. Antonetti, MD, FACS James D. Givens, MD, FACS S. Gray Hughes, MD, FACS M. Shirin Sabbaghian, MD, FACS Glen F. Strickland, MD, FACS Southern Surgical Group Raymond S. Fryrear II, MD Jeffrey S. Libbey, MD, FACS Nicholas A. Limperos, MD William M. Moore Jr., MD, FACS Ronald G. Myatich, MD, FACS Terry O. Norton, MD, FACS Sarah Asman, PA-C Melody Heffline, ACNP-BC Jeri Long, NP Joanne S. Wactor, FNP-BC ———————————— Orthopaedic Surgery Lexington Orthopaedics Matison L. Boyer, MD Barnaby T. Dedmond, MD David R. Kingery, MD James C. McIntosh Jr., MD Randall S. Suarez, MD Thomas Daley, PA-C Laura Kinsler, PA Jill LaPosta, PA-C Southeastern Orthopaedic and Sports Medicine Gregory S. Lavigne, MD David K. Lee, MD Subhash J. Patel, MD Lexington Cardiology William W. Brabham, MD William D. Brearley Jr., MD, FACC Amy Rawl Epps, MD, FACC S. Stanley Juk Jr., MD, FACC Joseph J. Lawton III, MD, FACC, FSCAI Robert A. Leonardi, MD Robert M. Malanuk, MD, FACC Michael C. Roberts, MD, FACC Richard E. Umbach, MD, FACC Stephen E. Van Horn Jr., MD, FACC R. Taylor Williams, MD, FACC Pattie Farlow, ANP, BC Leslee Kistler, ANP, BC Lexington Endocrinology Mary Lynn Kemick, MD, PhD Susan Griffin, APRN, CDE Lexington Interventional Pain Management Erin F. Lawson, MD Lexington Medical Specialists Natalie Causby Cauthen, MD Emilio V. Perez-Jorge, MD, FACP Lexington Rheumatology Janie C. “Kaki” Bruce, MD Fernando X. Castro, MD Bruce Goeckeritz, MD, FACR, CCD Bryan J. Wolf, MD Lexington Medical Center Chapin Lexington Medical Center Gilbert Lexington Medical Center Irmo Lexington Medical Center Lexington Lexington Medical Center Swansea Benjamin J. Askins, MD Dale Blizzard, MD Sally L. Herpst, MD Eleanor R. Leaphart, MD Jan McBride, MD Carl W. McCord, MD Donald G. Moore, MD Donald Langston Powell, MD Michael P. Taillon, MD Marcia Taylor, MD Ashley R. Whetsell, MD David C. Winn, MD Christine Barrett, NP Janice Black, NP Amy Conard, NP Jacqueline Conder, NP Lashell Head, NP Pamela Levi, NP Linda Mestler, NP Theresa Prince, NP Virginia Summerall, NP Carol Upton, NP Lexington Sleep Solutions Clarence E. Coker III, MD Francis M. Dayrit, MD, FCCP Sarkis S. Derderian, DO Paul M. Kirschenfeld, MD M. Christopher Marshall, MD Mohamed S. Soliman, MD Matthew Haigh, NP ———————————— practices available for bill pay only ———————————— Plastic & Reconstructive Surgery Southeastern Neurology & Memory Clinic Donald E. Schmechel, MD Medical Center Hospitalists Lexington Plastic Surgery Todd Lefkowitz, MD Sumter Cardiology C. West Jacocks IV, MD, FACC Mitchell W. Jacocks, MD Leslie Beben, PA-C Carolina Shoulder & Knee Specialists Kevin Nahigian, MD Lexington Oncology Lexington Radiation Oncology Lexington Radiology Associates
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