Get New Patient Packet - Orthopaedic Surgery - University Of South ... - Ortho Med Sc
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How to use or fill out the New Patient Packet - Orthopaedic Surgery - University Of South ... - Ortho Med Sc online
Completing the New Patient Packet for orthopaedic surgery is an essential step in facilitating your care. This guide provides a clear, step-by-step approach to filling out the form accurately and efficiently, ensuring that all necessary information is properly conveyed.
Follow the steps to successfully complete your New Patient Packet.
- Click the 'Get Form' button to access the packet and open it in an editor for completion.
- Begin by providing your personal information in the specified fields. Include your first name, middle initial, last name, street address, city, state, zip code, and date of birth.
- Enter your primary and secondary phone numbers. It's helpful to include the nearest relative not living with you for reference.
- List your primary care physician's name along with their phone number and include how you were referred to this office.
- Indicate your primary reason for the visit and detail how long you have experienced the injury or problem.
- Fill in past medical history, including current medications and any allergies you may have. Clearly state if you have allergies to any medications or latex.
- Complete the social history section, including your occupation, driving status, alcohol consumption, tobacco use, and drug use, if applicable.
- Tick the relevant boxes in the review of systems section, noting any significant symptoms you may have faced.
- Provide any explanations for 'YES' answers in the designated area.
- Proceed to sign and date the authorization regarding payment and release of medical information, ensuring you understand the terms regarding treatment consent.
- If necessary, authorize the release of information to a coach or athletic trainer by completing that section.
- Finally, read the University Specialty Clinics’ Notice of Privacy Practices and sign to confirm you have received the document.
- Once you have filled out all sections, ensure to save your changes. You will have options to download, print, or share the completed form.
Take the next step towards your orthopaedic care by completing and submitting your New Patient Packet online.
Preparing for orthopedic surgery involves several important steps, including understanding the procedure and attending pre-operative appointments. It's essential to follow your surgeon's guidelines on medication, diet, and physical activity. Reviewing the New Patient Packet - Orthopaedic Surgery - University Of South ... - Ortho Med Sc. will help you gather crucial information for a successful surgery.
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