Patient Forms
Most Common Forms
Click on links for the most commonly used forms. Scroll below for more.
- Orthopaedics: New Patient Form.
- Therapy Services: New Patient Form and I have Medicare.
- 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.
- 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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“Everyone at OSS Physical & Hand Therapy (is) kind, professional and courteous. They’ve been such a huge part of my shoulder surgery. Highly Recommend! ”- David B.
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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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“(Dr. Korchek) was straight to the point in everything. You can tell he was experienced. He said…you have a torn labrum in the right shoulder. The surgery went well. The pain wasn't bad.. the team was friendly and fun. I was in and out in no time. ”- Jason B.
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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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“St. Joseph ER recommended this practice….I was grateful they (OSS) got me in to see someone within a day of my request. Katie Wong PA was great. She listened and performed the exam mindful of my being in pain. ”- Margie
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“OSS is Amazing including all the staff. They are Super Friendly and Helpful! Dr. Jeter's is Awesome and truly listens and understand how much pain you might be in. She moves quickly to find where the source of your pain is coming from and inform you of that information. I recommend OSS and their entire team! Thank you everyone and Thank you Dr. Jeter's! ”- Naimah H.