The Orthopedic Center
(410) 820-8226     (800) 464-8226

Patient Forms

Forms

Your visit at The Orthopedic Center is an important meeting that can be most effective if you plan ahead. It is essential that you give your doctor the information he or she needs, and that you understand what your doctor is recommending during your visit. Our Medical History forms will help you and your doctor discuss the issues that are key to your treatment.

To begin this process, please select "MY PATIENT PAGE"  on the left menu sidebar or above in the header to create a secure log in.

Services Include:

• Secure Messaging with staff and physician

• Appointment Requests

• Pre-registration

• Physician Referral

• Prescription Refill

• Pay On-line

• Patient Education in PDF format

 

Other Forms

Release Authorization Forms

Medical Records Release Authorization

MRI and X-Ray Release Authorization

 

Physical Therapy Forms

Physical Therapy Welcome Letter

Financial Obligation Form

Back Questionnaire

Neck Questionnaire

Upper Extremity Function

Lower Extremity Function

Pain Assessment

Shoulder Pain & Disability

Physical Therapy No Show Form

Beneficial Interest Disclosure

My Patient Page

If you have an account,
please Log in

...or submit the following form to request an account invitation.

http://www.theorthopediccenter.net/

Your Name:

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