New Patient Info

Please bring the following items with you to appointments:

• Your insurance card or other health coverage information. Some insurance companies require you to have a referral or primary care authorization before treatment is given. Please check with your carrier if you are in doubt.
  
  
• Walking shorts and athletic shoes (knee examination only)
  
  
• X-rays or MRI's not older than twelve or eighteen months (if available)
  
  
• Clinic notes or operative reports from your referring physician that relate to your condition.

Payment in full is expected at the time of your visit. Exceptions include Worker's Compensation, Medicare and patients covered by contracted Insurance Carriers. Deductibles, co insurances and co pay will be collected according to your contract specifications. For your convenience, we accept Visa, MasterCard, cash or check. Please contact our billing office if you have any questions or concerns.

MEDICAL RECORDS

Medical record request usually require 14 business days. Expedited requests are available in the event you require your information prior to the 14 day period. Please ask our receptionist for information regarding our fee schedule.

Patient Forms

For your convenience the following patient forms are available to download. Fill out by hand and bring to your next office visit.

Important Note:
The forms available below are for printing purposes only. Do not complete the forms on line and do not send this information to FSMI as these forms, when completed, will not be protected from inadvertent breaches and interceptions of data.

New Patient Information Forms