Forms


New Patient Forms (have not been seen this calendar year or previously)

Please download and complete the New Patient Registration and Patient Intake forms below and bring it with you to your first appointment, along with your medical insurance card and photo ID.


New Patient Registration Form Patient Intake Form
 


Specific Forms

If your visit is for your hip, knee or shoulder, please download and complete the corresponding form below and bring them with you to your next appointment.


Hip Form Knee Form Shoulder Form
 


New Injury/Problem Form for Existing Patients (have been seen this calendar year)

Please download and complete the Patient Intake form below and bring it with you to your next appointment, along with your medical insurance card and photo ID.


Patient Intake Form
 


Optional Form

If you would like a copy of your medical records, please complete the form below and bring it with you to your appointment, or fax it to us at 678-344-4947. Please allow two weeks for this request to be completed.


Medical Records Release


Insurance

We accept most major health insurance plans, however it is your responsibility to contact your insurance carrier to verify coverage and benefits. Patients may be held financially responsible for payment of services should the insurance company deny responsibility. Be sure to bring your insurance card with you every time you visit Northside Orthopedic Specialists. Notify the front desk whenever your insurance coverage changes so that the medical staff can accurately maintain your important medical records.

Additional References