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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“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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“Everyone here was great Came in after surgery on my dominant wrist for a fracture and after 6 weeks I am almost back to normal functionality. Jamie was my therapist and she is great. Would recommend going here. ”- Cameron H.
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“Dr. Falkenstein saved me! I honestly don't even know how to describe the happiness and relief I am feeling right now after suffering from lower back pain for pretty much half of my life (ps I am 30). Thank you Dr. Falkenstein for giving me my quality of life back! I am so appreciative of you and I recommend anyone suffering from spinal pain only trust ... ”- Linda C.
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“I heartily recommend OSS Elite for anyone with carpal tunnel syndrome or any other hand problem (mine was arthritis in my wrist). The outstanding therapists there are so precise and knowledgeable, fully explain what each exercise does, give excellent training on changes to make in daily life movements, and make sure that each patient knows exactly how to ... ”- Peter L.
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“I interviewed several doctors for me spinal fusion. I actually have had three done on my neck but was not happy with my doctor and his love for the patient. Dr. Falkenstein is a great doctor and actually spends time with you to explain what is wrong and how he can fix it. He sits down with you shows you your MRI and shows you at the cases where people ... ”- Kowser O.
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“Dr. Korchek is amazing. I can’t say enough about him. He was informative and honest and put me at ease explaining everything, ”- M.C