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The Lincoln National Life Insurance Company P.O. Box 2616, Omaha, NE 681032616 Phone: (800) 4232765 Fax: (877) 5736177 ENROLLMENT FORM FOR GROUP INSURANCE Please Use Ink or Type GROUP POLICY #: Billing

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How to Fill Out Cumberland Medical Center:

1. Start by gathering all the necessary documents and information. This may include your identification, insurance information, medical history, and any referral or authorization forms if required.
2. Arrive at the Cumberland Medical Center and check in at the registration desk. Provide them with the necessary documents and let them know the reason for your visit.
3. Follow any instructions given by the registration staff, such as filling out any forms or providing additional information. Be sure to complete all sections accurately and thoroughly.
4. If you have any questions or need assistance while filling out the forms, don't hesitate to ask a staff member for help. They are there to guide you through the process.
5. Once you have completed the paperwork, return it to the registration desk and wait for further instructions. They will guide you on the next steps, such as payment or directing you to the appropriate department for your appointment or procedure.

Who Needs Cumberland Medical Center:

1. Individuals in need of medical care: Cumberland Medical Center serves individuals who require medical treatment, whether it be for minor ailments, chronic conditions, or acute illnesses.
2. Patients seeking specialized care: The medical center offers a wide range of specialty services, such as cardiology, orthopedics, obstetrics, and oncology. Those who require specific medical expertise can benefit from the services provided.
3. Residents in the surrounding community: Cumberland Medical Center is an essential healthcare facility for the local community. It serves as a primary point of care for residents who may need routine check-ups, preventative care, or emergency medical attention.
4. Visitors to the area: For individuals visiting the area, Cumberland Medical Center offers medical services to address any unexpected healthcare needs that may arise during their stay.

Overall, Cumberland Medical Center caters to individuals of all ages and backgrounds who require medical attention, making it an invaluable resource for the community and beyond.

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