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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“Best orthopaedic surgery in the state, no country. ”- H.G.
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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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“The care my 11-year old received from Omar Duenes at OSS was outstanding….as soon as Omar D. saw them (Xrays of wrist), he was able to determine that she broke her wrist. He was extremely professional, knowledgeable, and helpful. ”- DeAnna
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“This place was referred to me by my doctor after I tore my ACL and I'm very happy with everything. My doctor suggested I try PT before going with surgery. I am 6 weeks in and already walking with no issues, doing lunges, squats and other resistance training. ”- A R.
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“Dr. Feldman has treated me on and off for over ten years. ... I love that OSS has everything he needs to diagnose in-house which makes it very easy. ”- Stacey L.
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“Dr. Feldman is my go-to ortho….He has been my orthopedic for >12 years… He has performed (my) hip replacement. Spinal fusion. Meniscus tear and cartilage damage repair. He has also done a knee replacement on my left knee…. They focus on getting patients thru and on time; learn their names and you will learn how special they all are. As for Dr. Feldman... ... ”- TRM