The Greater Long Beach Orthopaedic Surgical and Medical Group

Office Information: Medical Forms

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe icon. This will allow you to download this software, providing access to the forms.

You may print one of each of the following six forms and fill them out prior to your first visit with our office. This will aid in assuring that you are seen in a timely fashion. Please be sure to notify our front desk that you have completed the forms when you sign-in. Thank you.

Download & Print Forms

  1. Financial Policy
  2. General Medical History Worksheet
  3. New Problem Questionnaire
  4. Notice of Privacy Practices
  5. Patient Consent Form
  6. Patient Registration Form

If you cannot access the forms you can click on the icon to download the software.

Download Acrobat

Also serving Lakewood, Cypress, Seal Beach, Huntington Beach, & Rossmoor areas.
1040 Elm Avenue, Suite 100 • Long Beach, CA 90813 • T: 562.591.4444 • F: 562.432.0656
3771 Katella Avenue, Suite 310 • Los Alamitos, CA 90720 • T: 562.430.3561 • F: 562.431.8882

Copyright © 2010 Greater Long Beach Orthopaedic Surgical and Medical Group | Disclaimer
Last Modified: May 12, 2008