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
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“Today's visit was with Dr Jeter. last time i had seen her was 2 yrs ago and she remembered me and the procedure she had performed great to see her again. May god bless all the doctors here with lots of health so that they may continue to help ... ”
- Sako M. -
“(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. -
“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 ... ”
- Anashe M. -
“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 ... ”
- Peter L. -
“I waited approximately 10 years for Dr. Raymond Raven to perform a Dupuytren's Contracture release procedure on my right (dominant) hand because I was waiting for my insurance to change, and heard (from several medical professionals) that he was the ... ”
- Doc S. -
“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