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Registration Forms

         Below are links to the three registration forms that will be needed for your patient registration at the Nirschl Orthopaedic Center. At the time of your visit, you will need a filled out copy of the Official Registration Form, and the Privacy Practices Acknowledgement Form. The third form, the Privacy Practices Form, is for you to review before you sign the Privacy Practices Acknowledgment Form. To acess these forms, click on the following links. For some of them you will need Adobe Acrobat Reader which you can download here. For the adobe documents, you can download them and fill them in via your computer. Just right click on the link below and select "Save Target As." Than name your document and click save. If you cannot access these forms, they are available in the office.

 

Official Registration Form

Privacy Practices Form

Privacy Practices ACKNOWLEDGEMENT Form

 

 

All information presented here copyright 1998-2006 Nirschl Orthopaedic Center for Sports Medicine & Joint Reconstruction unless otherwise stated.

LEGAL DISCLAIMER
The information provided on our web pages is intended for educational and informational purposes only. It is not to be used as a substitute for medical advice. Please contact your physician, who after a full medical exam can give you advice about your specific condition. Your comments are welcome but No answers to medical questions will be given by e-mail or other correspondence.