Patient Information

When coming in for a new patient appointment, please bring in the completed New Patient Packet document – the form can be found below for you to print and fill out. If you have any type of Medicaid insurance, please read and sign the Medicaid Policy form (linked below) and bring to your new patient appointment. The HIPPA Notice document below is for you to read to understand our privacy policies.

Please be sure to bring your health insurance card to every visit so that we can make sure we have the most updated and accurate information.


Limestone Medical Center accepts most major insurances, including Medicare, Medicaid, and CHIP. In addition, the Rural Health Clinics offer a sliding fee scale plan to patients based on family size and income. Patients will not be denied service due to an inability to pay. Patients will not be denied services for any reason including: race, color, sex, national origin, disability, religion, age, sexual orientation or gender identity.

At Limestone Medical Center; we offer a program for patients that qualify that discounts the costs of some healthcare services. It is called the Sliding Fee Scale program.

For patients interested in applying for the Sliding Fee Scale program offered to residents of Limestone County, please pick up an application at the Limestone Medical Center’s Outpatient Registration desk, Monday – Friday, between 8:30 a.m. and 5:00 p.m.

Applications may be turned in at the Outpatient Registration Desk, Monday – Friday, between 8:30 a.m. and 5:00 p.m. or in the Emergency Room 24 hours a day/7 days a week.

Applications are processed within a week providing all documents are turned in as requested with the application