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    • Leadership
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    • Patient Forms
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    • Patient Portal
    • Healthe-Chatter Newsletter
  • Careers
    • Physicians APRN and PAS
    • Job Postings

Orthopedic Trauma Surgery Forms

Patient Registration Forms

Please print and complete documents 1-5. Additional paperwork may need to be completed at the office.

  1. Adult Health History Questionnaire
  2. New Patient Registration
  3. Consent for Treatment
  4. HIPAA Disclosure Authorization
  5. Authorization to Release Medical Records or Authorization to Release Medical Records (Español)

Instructions for Patients

  1. Post Operative Follow-up Instruction
  2. Radiology Instructions

Patient Exercise Information

  • Foot and Ankle Conditioning
  • Hand and Wrist Range of Motion
  • Proximal Humerus and Clavicle Range of Motion
  • Shoulder Range of Motion
  • Wrist and Elbow Range of Motion

Patient Portal

Announcing the new FPG and SMH MyChart Patient Portal

From scheduling appointments to checking test results, MyChart makes it easy for FPG patients to manage your health and stay connected to your care team – in one secure place.

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