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.
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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“I was suffering from an excruciating lower back pain that prevented me from doing any movement, except for standing and walking. After getting an MRI I was told by my Orthopedic Surgeon I had a 7mm herniated disc on my L5, Physical Therapy would not help, and my only options were to either get an epidural injection for a temporary pain relive or another ... ”- Anashe M.
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“My visit with Dr. Feldman was wonderful. He was very thorough (and) explained what the cause of my back pain might be. ”- Maragaret
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“Dr. Korcheck is the best. Everything is so organized, staff is very courteous ”- Ann A.
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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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“Kudos to Dr. Abby Merrin and PT Alexandria Tayo. They helped me overcome my hip issue and I am now able to walk and run pain free. They were personable, kind and compassionate. Dr. Merrin took the time to explain the benefits of each exercise and how It would help diminish my symptoms. I would recommend OSS to anyone that needs physical therapy. ”- Jo-Ann L.
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“Most talented, experienced comprehensive orthopedic office in the western USA. Doctors are extremely talented and surrounded by exceptional staff. World class care. ”- Leslie F.