Frequently Used Forms

Check out our frequently used forms below.

 

COVID-19 Patient Forms

Please complete our online Supplemental Health Questionnaire.

formicon

COVID-19 Consent Form

Thank you for your continued trust in our practice. As with the transmission of any communicable disease like a cold or the flu, you may be exposed to COVID-19, also known as “Coronavirus,” at any time or in any place. Be assured that we have always followed state and federal regulations and recommended universal personal protection and disinfection protocols to limit transmission of all diseases in our office and continue to do so.

formicon

New Patient Form

Please complete our online Health History Form before your first consulation visit.

formicon

Photo Release/Permission Form

Would you like your photo or special event highlighted on our website or our e-newsletter? If so, we need permission in writing from you(or parent/guardian for minors). Please print out and complete the form and fax it to our office, or bring it with you to your next appointment. You may be our next LT Ortho Star!

formicon

Privacy Notice Form

formicon