Patient Forms

Thank you for choosing Orthopedic Associates. For a more efficient check-in process when you visit us, you can fill out the appropriate forms below and bring them with you to our office.

Along with your completed paperwork, please bring the following with you to your scheduled appointment:

Insurance Card
Photo ID
Referrals (If required)
Co-Payments

New Patient Forms

Orthopedic Visits: Health History Form

Patient Portal - Health History Form

HIPAA - Privacy Notice

Authorization to Release Medical Records

Physical Therapy - New Patient Recommendations

Patient Financial Responsibility Agreement

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Orthopedic Associates of Port Huron complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex - Learn more.