Patient Forms
Most Common Forms
Click on links for the most commonly used forms. Scroll below for more.
- Orthopaedics: New Patient Form.
- Medicare New Patient Paperwork – All Appointments Effective 1/1/25.
- 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
- 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.
- All MRI and CT Scan forms can be found on this link from Imaging Specialists of Burbank - Pacific Ave.
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.
- Medicare New Patient Paperwork – All Appointments Effective 1/1/25.
- NEW PATIENT: New to OSS Therapy and have Private Insurance (e.g., PPO).
- NEW PATIENT: New to OSS Chiropractic.
Additional
Read What Our Patients Say
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“Dr. Jeffrey Korchek has been my husband's orthopedist for over 25 years and when I need an orthopedist, I go to him too. ”- The Best Fa
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“Dr. Feldman is the best doctor I ever got. Thank you for being the dedicated, thoughtful, and compassionate doctor that you are! You always go above and beyond and work tirelessly towards a healthy outcome. ”- Kharmen R.
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“Dr. Shahan Yacoubian replaced my left hip in October. I went in with full confidence because not only was I referred by my trusted physician, but leading up to the surgery I met so many others who had recently had hip or knee surgery and highly recommended him. Since my VERY SUCCESSFUL hip replacement, I've met even more of his happy patients. It just ... ”- Tina P.
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“The PA Vaz Galstjan treated my son very well when he came in for a fractured elbow. He was very quick to get a diagnosis…his skills for patient care were excellent! ”- Jerald P.
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“They evaluated me carefully, always listen to my feedback, and adjusted workouts to see my progression, and in the end, I was able to be discharged from treatment and return to my normal activities earlier than planned. I definitely built more strength in the program than I had before, and feel confident that I can continue building strength at home with ... ”- Brain M.
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“I'm thrilled to return as a patient of Dr. Stephan Yacoubian for my upcoming knee arthroscopy surgery. He performed surgery for my other knee over 10 years ago and gave me excellent care. His expertise and experience give me peace of mind but just as important he takes the time during my appointment to answer any questions I have. His office staff is ... ”- Karen G.