New Patient Consultation

  • Kentucky Diabetes Endocrinology Center Lexington Kentucky

    Lyle Myers, MD

    Wendell Miers, MD

    Rebecca Tweardy, PA-C

    Jacqui Baker, PA-C

    1760 Nicholasville Road Suite 502, Lexington, KY 40503
    (859) 278-2232
    Fax To: (859) 278-1543

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • We must receive this form, demographic information, insurance information (PRIMARY AND SECONDARY), office notes, labs and scans to schedule an appointment.
    *Please note, if you indicate Yes, we will NOT be sending paperwork via regular mail. You will need to notify your patient of the appointment date and time.
  • Accepted file types: jpg, gif, png, pdf, doc, docx.
    Attach office notes, insurance cards, etc.