Once you have made an appointment with Slocum Center for Orthopedics & Sports Medicine, you will need to fill out our patient forms. To make it more convenient for you, you may download our required patient forms, print them, and fill them out prior to your appointment.
Here's what you'll need to bring to your first appointment. We've also included some things you should tell us before you arrive.
Please note: You will need Adobe Acrobat Reader to view the following patient forms.
Download Adobe Reader
Patient Registration (pdf)
Orthopedic History (pdf)
Authorization to Communicate (pdf)
Authorization to Communicate - Spanish (pdf)
Authorization to Release Medical Records (Released to Slocum) (pdf)
Authorization to Release Medical Records (Released from Slocum) (pdf)
Notice of Privacy Practice (pdf)
Medical Records Amendment (pdf)
Request for Restriction (pdf)
Patient Rights and Responsibilities (pdf)