Your Visit

Insurance card

Government or state issued picture identification

List of Medications

Records from previous doctor about current problem

Please include

• Office notes

• Operative reports

• Xrays/report

• MRI/CT Scan/report

• Lab results

• Previous doctor contact information

Please wear or bring clothing that will allow a proper exam. We recommendation:

• Shoulder, tank top

• Knee, shorts

• Hip, loose pants or shorts

•  Elbow, short sleeve shirt or tank top

• Ankle/Foot, pants/shorts that go ABOVE knee

New Patient Forms

(Print and complete and bring to your visit.)

• New Patient Medical Questionnaire
  

• Multiple Body Part Form
  

• Authorization to Release Form- HIPAA
  

• Payment Policy Form
  

• Privacy Practices Form
  

Follow Up Patient Form

(Print and complete and bring to your visit.)

• Follow Up Patient Medical Questionnaire

Medical Records

(Print and complete and bring to your visit.)

• Authorization to Release Medical Records