New Patient Forms

On this page you will find files that our patients should complete. Having them done prior to your appointment will be helpful and make your time spent with us shorter. Please take a moment to download the PDF file, fill in the information and bring these documents with you when you come to the office.

Disclosure of Health Information Form
Download Disclosure Health Info. Form

Assignment and Consent
Download Assignment Consent Form

Acknowledgement of Receipt HIPPA Form
Download Acknowledgement Receipt HIPPA(privacy) Form

Orthopedic & Trauma Service of Oklahoma Medical History
Download Medical History Form

Demographic Sheet
Download Demographic Sheet Form

Authorization for Access by Patient of Protected Health Information
Download HIPAA Compliant Release Info. Authorization

HIPAA Disclosure Information – FYI
How This Practice May Use or Disclose Your Medical Information