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PATIENT INFORMATION

THANK YOU FOR CHOOSING WISSAHICKON ORTHOPAEDIC SPECIALIST, P.C.

 

OUR STAFF WISHES TO PROVIDE THE BEST CARE AVAILABLE WHEN YOU ARRIVE AT OUR OFFICE.

FIRST APPOINTMENT:
PLEASE COME 15-20 MINUTES PRIOR TO YOUR SCHEDULED TIME, TO ENTER AND VERIFY YOUR INFORMATION.

COMING SOON

ACCESS ALL YOUR INFO ONLINE!

 

PRESCRIPTION REFILLS
DIAGNOSTIC IMAGING 
HEALTH RECORDS
LAB RESULTS
PLEASE BRING THE FOLLOWING:
  • PHOTO ID & INSURANCE CARDS
  • CO-PAYMENT OR AGREED PAYMENT
  • REFERRAL FROM YOUR PRIMARY
  • COMPLETED PATIENT FORMS
    • PROVIDED BELOW​
  • CURRENT MEDICATION LIST 
  • ANY RECENT DIAGNOSTIC TESTING
    • X-RAYS, MRI'S, CT SCANS, OR ANY OTHER MEDICAL RECORDS​
FOLLOW-UP APPOINTMENT:
PLEASE COME 10-15 MINUTES PRIOR TO YOUR SCHEDULED TIME. INFORM STAFF OF ANY CHANGES TO INFORMATION
PLEASE BRING THE FOLLOWING:
  • PHOTO ID & INSURANCE CARDS
  • CO-PAYMENT OR AGREED PAYMENT
  • A VALID REFERRAL FROM PCP
  • UPDATED PATIENT FORMS IF MORE THEN A YEAR SINCE THE LAST VISIT
  • UPDATED MEDICATION LIST 
  • ANY NEW DIAGNOSTIC TESTING
  • ​INFORM STAFF OF ANY CHANGE IN MEDICAL OR SURGICAL HISTORY​
REMINDER:
WE COLLECT ALL CO-PAYS, DEDUCTIBLES, OR UNINSURED AMOUNTS AT TIME OF VISIT. 
WE ACCEPT MASTER CARD, VISA, DISCOVER, AMEX, PERSONAL CHECKS, AND CASH.
CANCELLATIONS: 
PLEASE NOTIFY US AS SOON AS POSSIBLE IF YOU ARE UNABLE TO KEEP AN APPOINTMENT OR NEED ONE CHANGED SO WE CAN ACCOMMODATE OTHER PATIENTS. FAILURE TO CANCEL 24 HOURS PRIOR TO THE APPOINTMENT TIME WILL RESULT IN A FEE CHARGED DIRECTLY TO YOU.
WE STRIVE TO KEEP ON SCHEDULE AND APOLOGIZE WHEN THE DOCTORS FALL BEHIND DUE TO EMERGENCIES AND OTHER UNFORESEEN DELAYS, WE DO OUR BEST TO ACCOMMODATE ALL OF OUR PATIENTS, AND YOUR UNDERSTANDING IS GREATLY APPRECIATED.
PATIENT FORMS:

PRINT OUT FORMS & BRING THEM TO YOUR APPOINTMENT

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