Patient Forms

We are using an electronic system for patient forms through our partner at Phoenix Ortho.  Please follow the link below to fill out your electronic health record.  Once you click the link, you will need to choose “sign up” in which you will then get an e-mail confirmation containing a link that will need to be clicked on in order to sign back into the portal to complete your patient history.
**Portal will not work until within a week of your scheduled appointment**

Patient Portal

Other forms are available below:

New Patient Form

Medical Records Release Form

Consent to be treated

 

Either print out and bring with you to your appointment or email the form to us at info@upperextremitycare.com.

Please do not send urgent messages via email, as this mailbox is only checked twice a day