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Orthopaedic Surgery & Sports Medicine of San Antonio

Medical Forms

To help you with your overall patient experience, we have provided online forms that you will need to fill out prior to your visit. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe box. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process so your waiting time is reduced.

We kindly ask that you arrive 15 minutes before your scheduled appointment time to turn in or fill out any necessary forms.

English

box Privacy Notice (HIPAA)
box Current Visit / Insurance Patient Form
* Patient Pre-visit Medical Questionnaire
box Consent for Purposes of Treatment, Payment and Healthcare Operations
box Authorization for Use and Disclosure

Español

* La nota de las Prácticas de la Intimidad
* Formulario de Seguro del Paciente
* Historial Médico
* Consentimiento para Propósitos del Tratamiento, Proseso de Pago y la Asistencia Sanitaria
* Autorización Para el Uso y Divulgación de Información de Salud Protegida

Get Adobe ReaderIf you cannot access the forms you can click on the Adobe Reader icon to download the software.

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