Get New Patient Registration And Medical Form - The Orthopedic Group ...

Completing the New Patient Registration and Medical Form is an important step in your journey to better health care. This guide provides clear, step-by-step instructions to help you complete the form online with ease and confidence.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred digital format.
2. Begin by entering your patient name in the designated fields, ensuring you include your last name followed by your first name.
3. Provide the date of filling out the form along with your age in the respective fields.
4. In the 'Present Problem' section, detail the reason for your visit, specifying which body part is affected and when the issue first arose.
5. Indicate the cause of your problem by selecting the appropriate option from the list provided, if applicable. If relevant, give additional details in the space available.
6. Respond to the questions about whether this is your first occurrence of the problem and if you have been treated for it before. Provide a brief summary of any previous treatments, tests, or surgeries you've undergone related to this issue.
7. List any physicians who have treated you for the same problem in the designated area.
8. Indicate your dominant hand by choosing from right, left, or ambidextrous.
9. In the 'Past Orthopedic History' section, check any orthopedic issues you have experienced in the past. Include any additional details if necessary.
10. In the 'Past Medical History' section, indicate any medical conditions you have or have had previously by checking the appropriate box or specifying if needed.
11. For the 'Past Surgical History', list any surgeries you have had in the past, including approximate dates where applicable.
12. Complete the 'Family History' section by indicating any significant health issues among your immediate family members.
13. Document any allergies you have to medications by selecting the appropriate option.
14. List all current medications you are taking, including over-the-counter medicines, or indicate if you are not on any medication.
15. Provide information about your social history, including your occupation and any habits related to tobacco or alcohol use.
16. Answer the review of systems questions by checking any relevant areas where you might have current problems and providing details as necessary.
17. In the 'Authorization and Privacy Policy' section, read the statement carefully before signing and dating the form. Ensure your printed name is also included.
18. Once all sections are completed, review your form for accuracy. Finally, save changes, download a copy for your records, or print the form to submit.

Complete your New Patient Registration and Medical Form online today!