Patient Forms

Thank you for choosing Tri-County Orthopedics for your orthopedic care. For your convenience, you may download, print, and complete our required patient forms below. Please remember to bring your completed forms, along with the following pieces of information, to your scheduled appointment:

• Co-payments (if required by your insurance)
• Insurance card(s)
• Photo ID
• Referrals (if required by your insurance)

All forms should be completed prior to your appointment.

Release of Information Form (PDF)

Tri-County Orthopedics complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Learn more.

The latest version of Adobe Acrobat Reader is required to view and print PDF files, and it is available here.