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. 

New Patient Online Registration Form

If you are seeing Dr. Shoham or Dr. Breeden, 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

Dr. Breeden

  • New Patient Supplementary Packet

Forms & Useful Information

Medical Records

  • Medical Records Access Instructions

  • Medical Records Release Form

  • Revocation for Consent Form

Radiology

  • MRI Screening Form

Clinic

  • Clinic Office Policies for Patients

Surgery Center

  • Medicines to Avoid Before Surgery