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Orthopedic Surgery

 Orthopedic Surgery
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Flower Forms and Instructions
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What to bring: a checklist for your child's orthopedic appointment
Appointment Information:
  • Physician's Name
  • Department (Orthopedic Surgery)
  • Building Name/Location (Fegan 2nd Floor)
Name, address and telephone number of your referring physician
Name, address and telephone number of your primary care physician (family doctor) if different from above
Orthopedic Health History form
List of medications your child is taking
Gym shorts or another pair of shorts for the exam
Medical records, x-rays, MRI's or other lab results from other facilities.
Social Security number of patient and parent with the insurance coverage
Insurance card and insurance information, including referral
Worker's compensation for accident/injury related visits - please bring your attorney's name, address, phone and case number
Other helpful items to make your visit more enjoyable:
  • Books to read while waiting
  • Snacks
  • Formula, diapers or a change of baby clothes
  Before you leave your child's appointment
 
  • Request all school notes/forms that need to be completed
  • Request all prescriptions for medications, equipment, or physical therapy
  • Request any copies of x-rays/films from radiology you wish to obtain for your records
   
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Related Information
Orthopedic Health History form
Picture Archiving and Communication Systems (PACS) Instructions
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