Patient Forms

We’re committed to providing exceptional orthopedic care that helps you regain mobility, independence, and freedom from pain. Your health and well-being are our top priorities. If you need additional forms, please call us at: 866-506-7200

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Medical Records Release Authorization Form

If you need help, give us a call: 866-506-7200

– ANNOUNCEMENT –
Effective 01/01/2026

UnitedHealthcare Medicare plans require an authorized referral from your Primary Care Provider (PCP).

We will honor existing appointments through 03/01/2026 without authorization. However, any planned or ongoing treatment may be delayed if authorization is not received (IE: MRI, Surgery, PT/OT).

Please contact your PCP as soon as possible to obtain an authorization if you wish to be seen today or to avoid delays in care.