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Forms

NOTE: Many of the attached documents are in PDF format – you will need the Adobe Acrobat Reader installed on your computer to read these. Please download and install this program by clicking on the Adobe icon.

New Patient Form

Please print, fill out, and bring forms to your first appointment

Payment Policy Form

Knee History Form

If you are being seen for Knee problems, please print and fill out the appropriate forms.

Shoulder History Form

If you are being seen for Shoulder problems, please print and fill out the appropriate forms.

Hip History Form

If you are being seen for Hip problems, please print and fill out the appropriate forms.

Referral Waiver Form

If you need a Referral Waiver, please print and fill out this form.

Medical Records Release Form

If you require a copy of your medical records, please print and fill out this form.

Patient Satisfaction Survey

After your visit to Orthopedic Associates, please fill out this Patient Survey.
Disclaimer: Orthopedic Associates, PA offers and maintains this website to provide information of a general nature about our practice and conditions requiring the services of an orthopedic or podiatry specialist. The information is provided with the understanding that Orthopedic Associates, PA is not engaged in rendering surgical or medical advice via the web. Any information in the publications, messages, postings, or articles on this site are not considered a substitute for consultation with an orthopedic or podiatry specialist. To address individual medical needs. Individual facts and circumstances will determine the treatment that is most appropriate.
WORLD CLASSOrthopedic Associates iconORTHOPEDIC CARE
    • Location

      2300 E. 30th St. Bldg D, Suite 101
      Farmington, NM 87401
      505.327.1400

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