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

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Important update for patients with Anthem or Cigna

HCA Healthcare is in contract negotiations with Anthem and Cigna. Some patients may have received letters stating that care at an HCA facility could become out of network beginning Dec. 1, 2026, for Anthem or Jan. 1, 2027, for Cigna if new agreements are not reached.

HCA has assured us they expect to resolve both negotiations before those dates. If you have a procedure scheduled at an HCA facility, please do not cancel it based solely on the letter. Contact your insurer to confirm your facility’s network status and benefits, and reach out to our scheduling team with questions. We are monitoring the situation and will help patients understand their options as updates become available.

– ANNOUNCEMENT –
Effective 01/01/2026

United Healthcare HMO and HMO-POS 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.