FORMS

NOTE: Many of the attached documents are in PDF format – you will need the Adobe Acrobat Reader installed on your computer to read these. Please download and install this program by clicking on the Adobe icon.

New Patient Form

Please print, fill out, and bring forms to your first appointment

Payment Policy Form

Referral Waiver Form

If you need a Referral Waiver, please print and fill out this form.

Medical Records Release Form

If you require a copy of your medical records, please print and fill out this form. 

New Patient Form

FAQS

Orthopedic Associates PA providers will only refill medications they have originally prescribed. Please double check the name of the ordering provider before contacting our office for a refill. It is best to notify us at the time of your office appointment. If that is not possible, please contact your pharmacy and they will contact us directly. Medications will not be refilled at night and on weekends.