Patient Forms
Most Common Forms
Click on links for the most commonly used forms. Scroll below for more.
- Orthopaedics: New Patient Form.
- Therapy Services: New Patient Form and I have Medicare.
- Therapy Services: New Patient Form and I have a Private Insurance Insurance (e.g., PPO).
Orthopaedic Department
I am a returning OSS patient, but:
- It has been 3 or more years since I was last seen at OSS.
- I need a new orthopaedic provider.
- I have been seen by this doctor before but have a new problem.
- I have changed my health insurance plan or provider.
Pain Management (Dr. Chrystina Jeter)
- NEW PATIENT: I am new to OSS and to Pain Management.
- I am a returning OSS patient, but new to Pain Management.
Imaging (MRI, CT Scan, Bone Density)
- NEW PATIENT: I am new to OSS and to Imaging.
Please complete this form PLUS the relevant form below.
I am a returning OSS patient, but now:
Therapy Department
Includes physical therapy, hand therapy, and chiropractic.
- NEW PATIENT: New to OSS Therapy and have Medicare.
- NEW PATIENT: New to OSS Therapy and have Private Insurance (e.g., PPO).
- NEW PATIENT: New to OSS Chiropractic.
Additional
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“If there were more stars, he deserves all! My mom knee was devastated by arthritis and osteoporosis (perhaps due to her age) for more than 8 years and the last 3 years it was impossible for her to walk... then Dr. Jeffrey Korchek performed a knee ... ”
- Lorena F. -
“Dr. Raven treated me for De Quervian's Tenosynovitis. He performed a tendon release surgery after cortisone shots were not effective. Dr. Raven is a kind, compassionate and to the point doctor! ”
- Beth S. -
“First time at this office and staff was very friendly and welcoming. I came to this location because my doctor joined the OSS team, really satisfied with her work and care for my needs. Her name is Dr. Chrystina Jeter and she is very knowledgeable ... ”
- Jessica G. -
“Dr. Jeter is great! Compassionate and quite capable--terrific combination. I highly recommend her for pain management. ”
- Denise V. -
“Now, November 2016, Dr. Mark Mikhael operated on my right foot. He also was a top surgeon. He spent alof of time going over everything with me before surgery in the office. My foot is healing quickly! ”
- Janet L. -
“Dr. Korchek was outstanding during both of my hip replacements. (It's due to him that I'm out standing, myself!) His explanations during every step of the process are clear, creating an atmosphere of complete confidence and trust. He was attentive ... ”
- Anonymous