
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 (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.
- 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'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.
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“Two years since I had both knees replaced and all is good! I believe I left a very positive review not long after, so this is basically a repeat of that. Dr Shahan Yacoubian does the knee replacements, and he knows what he is doing. His staff is great too and their physical therapy center next door is top notch! They were great! Didn't push too hard to ... ”- Marc S.
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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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“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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“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 Moses listens to you, gives you options for treatment, answers all your questions and explains everything you need to know to make an informed decision. I highly recommend them ”- Jose