Skip to content
Lister Healthcare Group
  • Welcome
  • About
  • Chronic Care Management
  • Annual Wellness Visits
  • Practices
    • Ardmore Clinic – Ardmore, AL
      • Claude S. Bridges III, MD
    • Calera Family Health – Calera, AL
      • Michael J. Turner, MD
      • Sara Walker-Koziol, MD
    • True Medical Group – Muscle Shoals, AL
      • Terry J. True, MD
      • Joyce Shea, CRNP, DNP
      • Elizabeth Livingston, CRNP
      • Tabitha Clemons, CRNP
      • Melissa Aycock, CRNP
      • Roy Barco, MD, PhD
  • Announcements
  • Contact
  • Login
Lister Healthcare Group
  • Welcome
  • About
  • Chronic Care Management
  • Annual Wellness Visits
  • Practices
    • Ardmore Clinic – Ardmore, AL
      • Claude S. Bridges III, MD
    • Calera Family Health – Calera, AL
      • Michael J. Turner, MD
      • Sara Walker-Koziol, MD
    • True Medical Group – Muscle Shoals, AL
      • Terry J. True, MD
      • Joyce Shea, CRNP, DNP
      • Elizabeth Livingston, CRNP
      • Tabitha Clemons, CRNP
      • Melissa Aycock, CRNP
      • Roy Barco, MD, PhD
  • Announcements
  • Contact
  • Login

Employee Documents

General employment documents and forms:

  • Employee Handbook 2019
  • Request for Time Off (to be returned to your immediate supervisor upon completion)
  • Release of Protected Health Information (PHI) for Other Purposes and Activities

 

Printable Chronic Care Management (CCM) forms:

  • CCM Correctional Demo Insurance Sheet
  • CCM Manual 2017
  • CCM Opt-Out Form
  • CCM Opt-Out & Opt-In Log Patient Forms for Clinic 2017
  • CCM Phone Encounter
  • CCM Time Log 2017
  • Patient Consent for Chronic Care Services January 2016

 

The following forms will need to be printed, filled out, and returned to Suzanne Bolton:

  • Compliance/HIPAA Acknowledgement Form
  • Notice of Privacy Practices Acknowledgement Form

 

The following forms will need to be printed, filled out, and returned to Susan Hall, Human Resources:

  • 2017 A-4 Form
  • 2017 W-4 Form
  • 2017 I-9 Form 2016-2019
  • BCBS Dental Ins Application 2016
  • BCBS Health Ins Application 2016
  • Direct Deposit Agreement Form 2017
  • 2017 Employment Application
  • 2017 401k Auto Enrollment Notice
  • ADA Acknowledgement Form
  • 401k Auto Enrollment Acknowledgement Form
  • Code of Conduct
  • PCI DSS Acknowledgement Form
  • PCI DSS Payment Card Industry Data Security Standards
  • Coding and Billing Policies and Procedures
© 2020 Lister Healthcare Group | Powered by Straight 8 Consulting | Privacy Policy