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Orthopedic Group, Inc.

Patient Forms

Paperwork can sometimes be overwhelming at registration time. To help facilitate the process, we have provided several forms on this web site that you can print out and complete prior to your visit. Please remember to bring them along for you appointment. This will help reduce the time you spend in the waiting room.

Orthopedic Group:

If you are receiving orthopedic care, please complete the appropriate forms from the list below.

Registration: If you are a new patient, please complete this form. It includes basic patient demographics and insurance information.
Patient History: If you are a new patient, please complete this form. We use this form to compile an accurate medical history in order to treat the patient appropriately.
Records Release Authorization: If you would like your medical records forwarded to a third party, please complete and submit this form to our medical records department. In order to safeguard your privacy, we will contact you via telephone to confirm your authorization. In all instances, the patient’s is required.
Financial Agreement: If you are a new patient, please complete this form.
Notice of Privacy Practices