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Patient Forms
Privacy Practices

Legal Disclaimer

The content on the Eastern Oregon Orthopaedic Surgery & Fracture Clinic, Inc.  web site is for informational purposes only. It is not intended to provide professional medical advice, diagnosis or treatment. Please consult with your physician or other qualified health care provider regarding any questions you may have about your health, orthopaedic treatment options, or any other medical concern.

 


Patient Forms

 

Before your appointment, please follow the links below print out the following forms necessary for your appointment.

 

Patient Information Form

Patient Consent Form

Patient Accident Report Form

Patient Medical History Form


Disability Insurance

Our office is very willing to complete your disability insurance forms. You can help us by filling out your portion of the form and either mail or bring them to the office. We try to have these completed within five working days. We need to know if they are to be sent back to you, or on to the insurance company. There is a $10.00 charge per form completion.

 


 

Privacy Practices

You may view our Privacy Practices here.

 

Or download a pdf copy by clicking here.

 

(Don't have Adobe Acrobat? Get your free copy from Adobe)

 

 
 
 
 
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