To save time, you may print the forms, complete them at home, and bring them with you to your appointment.
- New Patient Packet
- Spanish Patient Registration Information Form (Paciente Formulario de Informacion)
- Consentimiento Para el Uso y Divulgacion de la informacion de la Salud Para Tratamiento, Pagos, o Intervenciones, Medicas
- Medical Record Release
- Dr. Demorest's Pediatric Questionnaire
- Dr Lee's Private Insurance Questionnaire
- Dr Lee's Work Comp Questionnaire
- Dr Roth's Intake Form
- Dr. Elrashidy's Shoulder Injury Intake Form
- Dr. Elrashidy's Upper Extremity Injury Intake Form
- Dr. Elrashidy's Knee Injury Intake Form
- Dr. Elrashidy's Lower Extremity Intake Form
Physical Therapy & Hand Therapy Forms
- Physical Therapy New Patient Packet
- Hand Therapy New Patient Packet
Consult your physician with questions at the time of your appointment.
Informational Patient Handouts
- Cold Therapy Instructions
- Splint & Cast Instructions
You will need the Adobe Reader to view and print these documents.