As we all know, sometimes doctor visits require necessary paperwork. To make it more convenient for you, you may download our required forms, print them, and fill them out prior to your appointment at Litchfield Hills Orthopedic Associates.
Along with your completed paperwork, please bring the following with you to your scheduled appointment:
- Insurance card
- Photo ID
- Referrals (if required)
For MRI scans, wear loose-fitting clothing (no metals).
New Patient Forms
- Assignment of Benefits (PDF)
- 2017 Authorization Form (PDF)
- Consent to Treat (PDF)
- LDS New Back Form (PDF)
- Patient Information (PDF)
The latest version of Adobe Acrobat Reader is required to view and print PDF files, and it is available here.