PATIENT FORMS

Fill Out What You Can and We'll Help You With the Rest!

 

The following forms are provided for your convenience. Simply click on the link and print the appropriate pdf file. You can then bring the completed forms with you to your appointment. The forms can also be filled out at our offices.

 

Please arrive an extra 15 minutes prior to your scheduled appointment to allow enough time for the paperwork. Vail-Summit Orthopaedics complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Please bring any pertinent medical records and imaging CD's to your appointment.

 

We now offer the capability of Text Messaging your Appointment Reminders! All you need to do is supply us with your cell phone number and text VSO to 622622 to opt-in. To obtain details please feel free to call any one of our offices and our staff members will be happy to assist you. All NEW patients will need to fill out the four forms below: 

  • Patient Information

  • Patient Privacy Form

  • Financial Agreement

  • Health History

  • Communication Form 

  • Notice of Non-Discrimination