We encourage our patients to print out all the required forms listed below so they can be filled out prior to your office visit. To help your process the forms are in a PDF format and you can type right on the forms and then print them out.
- Patient Information Form Please fill this form out before your visit.
- Medical History Form Please fill this form out before your visit.
- Patient Consent Form
- Pain Medication Contract
- Disclosure of Physician Ownership Notice to Patients
Thanks for choosing Casscells Orthopaedics and Sports Medicine. We look forward to having you as a patient in our practice. We believe that quality medical care starts by considering the whole person, not just the injured part. That’s why our doctors and staff are committed to working together with you to develop a unique course of treatment to best meet your individual activity and lifestyle goals.
Patient’s First Visit
- Completed paperwork. Fill out and bring to your first appointment
- Insurance cards and Drivers Licence or Photo ID
- Copay for office visit with a specialist
- If insurance is through someone other than patient we will need insurance holder’s name, date of birth and employer.
- Referral if required by insurance policy
- List of Medications and Dosage amounts
- Any Xrays, MRIs, or any other testing that has been done related to this problem.
ALSO ANY PREVIOUS DOCTOR’S NOTES RELATED TO THIS PROBLEM.
- If work related injury:
Name and address of insurance company, date of injury, claim number, adjuster name and phone number.
- If auto accident:
Name and address of insurance company, date of injury, state injury, claim number, adjuster name and phone number.
You may want to start a list of questions for the Doctor for your first visit. Our patients tell us that makes it easier to remember everything they want to ask.