Become Our Patient
Thank you for selecting the Office of Orthopaedic Medicine & Surgery
for your orthopaedic care. To schedule an appointment at our Washington, DC office, please call us at (202) 835-2222 or use our online appointment request form.
Once you have made your initial appointment, you may pre-register online by completing the interactive forms below, or you may download and print the forms, fill them out and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.
Interactive Forms:
Patient Information
Health Questionnaire
Download Forms:
Patient Agreement for Payment Of Non-Covered Service
Receipt of Notice of Privacy Practices
Notice of Privacy Practices
Arthroscopic Knee Surgery Permission
Arthroscopic Shoulder Surgery Permission
Total Hip Replacement Permission
Total Knee Replacement Permission
Blue Cross Blue Shield Insurance Form
Patient Record of Disclosures
Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.
Become Our Patient
Thank you for selecting the Office of Orthopaedic Medicine & Surgery
for your orthopaedic care. To schedule an appointment at our Washington, DC office, please call us at (202) 835-2222 or use our online appointment request form.
Once you have made your initial appointment, you may pre-register online by completing the interactive forms below, or you may download and print the forms, fill them out and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.
Interactive Forms:
Patient Information
Health Questionnaire
Download Forms:
Patient Agreement for Payment Of Non-Covered Service
Receipt of Notice of Privacy Practices
Notice of Privacy Practices
Arthroscopic Knee Surgery Permission
Arthroscopic Shoulder Surgery Permission
Total Hip Replacement Permission
Total Knee Replacement Permission
Blue Cross Blue Shield Insurance Form
Patient Record of Disclosures
Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.