Patient Forms

New Patient Registration

If you are a new patient and have already scheduled an appointment with us, please click on the “New Patient Online Registration Form” to submit your pre-appointment registration information electronically. 

If you are seeing Dr. Shoham, please see the Supplementary Registration Packets below as they are required for your visit.

Nurses working at computers - Tri-City Orthopaedics

Supplementary Registration Packets

Dr. Shoham with PAs: Karen Nguyen and Caleb Ledford

  • New Patient Supplementary Packet

  • Follow-up Patient Supplementary Packet

Forms & Useful Information

HIPPA

  • HIPAA Consent Form

Medical Records

  • Medical Records Access Instructions

  • Medical Records Request

  • Revocation for Consent Form

Radiology

  • MRI Screening Form

Clinic

  • Clinic Office Policies for Patients

Surgery Center

  • Medicines to Avoid Before Surgery