Academy Orthopaedic Clinic
For our patients
The following forms may have to be filled out when you visit our office. In order to expedite your visit, we have created this site for the form that needs to be filled out when you come to us. Since the internet security is still questionable, we ask that you print the questioner, fill out and either fax it to us or bring it with you. Please choose the forms that apply to you and the method you prefer below:
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Basic Patient Information Form Must be filled out by all patients when you first visit us and every time any of your personal status changes, such as your name, address, employment, insurance, etc.
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Must be filled out by all patients when you first visit us. It tells us the reason you are coming to us. The history of your present problem and history of any medical problems that could affect the way we treat you.
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Established Patient with New Problem Must be filled out by established patients who are returning to us for a new problem. |