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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“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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“OSS professionals were the best possible expert guides to my recovery. They were compassionate and effective, and I am so grateful to have them as my health care providers. I highly recommend them especially for those who need hand and wrist physical therapy. ”- Iiona
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“So back in April I was involved in a nasty bike accident that left me with a severely broken arm. 10 days in the hospital and 4 surgeries later I'm released to start the slow process of recovery. By the time my last surgery had finished and healed, could barely move my wrist, turn my arm, open my hand, or use my fingers. I was told by my surgeon that I ... ”- Eric R.
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“Dr. Moses was Fantastic He diagnosed my hand problem and gave me all the information I needed to know about having a Trigger Finger. I've never had an appointment go so well. Kudos to the entire staff. ”- P.C.
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“Dr. Falkenstein has performed 2 lower back microdiscectomies in the past with excellent results. I've seen other doctors since the surgeries and they have all commented on the excellent work performed by Dr. Falkenstein. I am going back for fusion surgery soon and feel very comfortable with him performing this surgery. I've also had questions pop up ... ”- Russel L.
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“Best orthopaedic surgery in the state, no country. ”- H.G.