Client Resources
Providing our clients with great service is something the employees at South Bend Medical Foundation strive for each day. Whether it is having forms you need available at the click of a mouse button, or questions answered by our Client Services team, we hope the links provided here will help you obtain the information you are looking for. If not, please call us at 1.800.544.0925.
If you would like a copy of our Comprehensive Manual please e-mail Heather at hpond@sbmf.org.
Additional Resources and Downloads
- Phlebotomy Training
- OB-Gyn Fax Order Form
- Billing Adjustment Request Form
- Consent Form for Genetic Testing
- General Supply Order Form
- Lab Links
- Lockbox Temperature Record Form
- Patient Consent Form
- Consent for Release of Medical Information and/or Specimen
- Notice to Patients with Pending Medicaid
- Physician Fax Order Form
- Prompt Pay Discount Details
- Request to Change Patient Information Form
- Secure Device Release Form
- Supplemental Supply List Order Form
- Fact Sheet for Healthcare Providers: Interpreting the Prodesse ProFlu-ST Assay Results
- Fact Sheet for Patients: Understanding the Prodesse ProFlu-ST Assay Results
- An Acceptable Circular of Information for the Use of Human Blood and Blood Components
