Download LTC Enrollment Forms - Lindsay Technical Consultants, Inc.

Enrollment forms for new accounts or updates to existing accounts
	Provider Enrollment Form (Fill out online then print for fax)
	Provider Enrollment Form(Adobe PDF for printing)
	Billing Center Enrollment Form(Fill out online then print for fax)
	Billing Center Enrollment Form (Adobe PDF for printing)

Additional enrollment forms required by carriers
	Carrier/Payor enrollment forms

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