Forms & Policies

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Patient Forms

• Patient Registration Form
• Adult Medical History Form
• Patient Health Info Directive

Practice Policies

Emergencies

All emergencies are seen within a timely fashion, based upon the urgency of your problem. In a True Emergency it is best to go to the emergency room at your nearest hospital. The emergency room staff will contact us or the orthopedic physician on call. You have the right to request direct care from one of our physicians when in the emergency room.

Confidentiality

We understand that medical information about you is personal and we are committed to protecting this information. Your medical records are strictly private and we are prepared to take all the reasonable steps to protect this information. We will not disclose information regarding your condition to anyone without your written, signed consent. We will only use your health information for treatment, to obtain payment for services provided, or to provide business associates information about you pertinent to your care. We require all of our employees and business associates to appropriately safeguard your information. We will disclose information in special circumstances such as when required by law to prevent a serious threat to your health and safety. Please stop by our office to receive a copy of our Notice of Privacy to get more information about our policies.