Registration Information
The following two forms are to be completed by every new patient that visits Western Orthopaedics.

To save time at your clinic visit please print and complete the following two forms:

NEW PATIENT REGISTRATION FORM
PRIVACY POLICY
DR. WHITE'S INITIAL INTAKE FORM

Bring both of these forms to your appointment (they cannot be filled out online).

To complete your registration we will need to make a copy of your insurance card AND a photo ID. Please bring these with you to your appointment.

If your insurance plan requires a physician referral to see a specialist, please make the appropriate arrangements with your primary care physician BEFORE your appointment at Western Orthopaedics, PC. Without this permission (a referral) we are unauthorized to see you.

In order to view and print these files, you must have Adobe Acrobat Reader installed on your computer. Please click on the icon below to download this program prior to selecting your appropriate forms.

Medical Records
If you need to obtain medical records from another physician's office or from our office please fill out the form below and fax it, mail it, or bring it into our office.

DOWNLOAD MEDICAL RELEASE FORM