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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“Dr. Jeffrey Korchek has been my husband's orthopedist for over 25 years and when I need an orthopedist, I go to him too. ”- The Best Fa
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“So back in April I was involved in a nasty bike accident that left me with a severely broken arm. 10 days in the hospital and 4 surgeries later I'm released to start the slow process of recovery. By the time my last surgery had finished and healed, could barely move my wrist, turn my arm, open my hand, or use my fingers. I was told by my surgeon that I ... ”- Eric R.
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“My hip replacement surgery was done by Dr. Shahan Yacoubian on 6/18/24. In the 6 week-post surgery, the improvement in my quality of life has been nothing short of transformative…A week prior to surgery, I attended a Zoom meeting given by Providence St. Joseph Hospital in which they explained what to expect and how to prepare for the procedure. Physical ... ”- Sonia M.
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“Hallie, David, Hanook. Ashlee and Jessie worked with me and they were all very professional and conscientious. (ney listened to all my wrist. complaints and they would make sure my wrist would feel better, When I first came to therapy I was doubtful that it was going to help my wrist, I'm glad to say I was wrong, all the mentioned therapists made a ... ”- Rosa D.
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“I think Orthopedic Surgery Specialists group is the best group for orthopedic surgery. Over the years, before OSS, I had two knee surgeries, a shoulder surgery, and a foot surgery with different doctors and at different facilities. So I have had a lot of orthopedic experience. I discovered OSS this summer after a MRI revealed I had a broken hip. Dr. ... ”- Janet L.
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“This is my second time here. First time was for me with Dr Mikael. Second time was for my daughter - she went to see Dr Mikael too. She has a broken Fibula and Tibia. The wait time was spectacular today. Fast! His nurse / RN was on it!. As soon as he came to get us he says oh no! And immediately adjusted her crutches. Took us back and proceeded to take ... ”- Veronica V.