New Patients

Welcome to the Kemmler Orthopaedic Center family. To make your visit go as smoothly as possible, please read and follow these tips:

Please arrive approximately 15 minutes before your scheduled appointment time, so we can make sure your paperwork is complete and copy your insurance cards. For your convenience, please print, complete, and bring the below forms with you to your appointment. This will allow you to complete the forms in a more comfortable environment as well as save you time on appointment day.

Patient Forms

• Patient Information
• Patient History
• Consent to the Use and Disclosure of Health Information
• Insurance Form
• Medicare Signature Sheet
• Financial Policy

Things to Bring:

• Completed Patient Forms
• X-rays, CT scans, MRI films, and/or bone scans related to your current problem.
• List of medications
• Insurance Card
• Any relevant / required referrals
• Co-payment required by your insurance plan