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Appointment Request | Send a Brochure | Pre-Visit Forms Patient Survey | Careers | Locations We appreciate the selection of our office for your orthopaedic needs. We strive to provide the highest quality professional care at the best possible value. You can help us anticipate any special needs by telling us more about yourself. By following the links below you will find your patient information sheet and physical history form. If you are unsure if your insurance requires a referral, please call your insurance company to obtain the correct information. If a referral is required, it is your responsibility to make sure it is here. If required, a referral is absolutely necessary in order for you to be seen and for us to bill your insurance. At the time of your first visit the physician would like to review any X-rays, MRIs, Bone Scans, CT Scans or any other tests that you may have had performed in the past relating to your condition. It is extremely important that you bring these with you to your first appointment. If you don't have all the necessary information we will reschedule your appointment for a later date to allow you to get the information that you need. Your physician may request or schedule diagnostic tests to aid in your evaluation or treatment. If you have any questions, please call our X-ray department. Also please bring your insurance card(s) and your driver's license or a picture ID to your visit. To help us improve the services we provide, we may call you after your visit to learn how we did in meeting your needs, or you may complete our online survey form and e-mail to us. We appreciate your time in helping us improve our office and our standard of care. If you have any further questions please feel free to contact us. we would love to help you any way that we can and we look forward to providing your orthopaedic care. Pre-visit Forms: Each new patient must complete the following three forms: (please print, fill them out and bring them with you on your next visit) 1. Patient Information Form 2. Patient Financial Policy Form 3. Medical History Form: (please select the one form that most closely matches the reason for your visit) · Rheumatology History · Back & Neck History · General Adult History (all other specialties for patients 15 yrs. of age or older) · General Pediatric History (all other specialties for patients 14 yrs. of age and younger) (PDF file - requires Adobe Acrobat to read. Click here to download) |