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You can now Request an Appointment On Line - just complete the appointment request form and submit. Appointment Request Form

Orthopedic Surgery Associates is pleased to introduce a new convenience for our patients. Fill in your forms and information on line. This saves your time in our waiting room, and allows you to look up items that you might not have with you when you come to the office.

Follow these simple steps to complete these forms on line.

  1. You will require Adobe Acrobat. Click here to download if you do not already have the program. The program is FREE.
  2. Click on the link for the form. A new window will open for the form.
  3. Print the form to your printer.
  4. Complete and bring the forms with you to your next visit. (Make as many copies as you want for your records.)

Financial Agreement - A copy of your financial agreement with us is required.

Patient Information - Your medical history should be prepared carefully. It is vitally important to your treatment.

Medication Chart - Please download and list all Medications you are currently taking. Bring an updated form to each office visit.

Disclosure Form - We may find it necessary to communicate your health information with other organizations. This is your authorization for us to do so.

 


Adobe Acrobat is a free program required to complete these forms.
Download it here.


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