Patient Forms

Thank you for choosing The Orthopaedic Group, P.C., for your orthopaedic 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:

• Insurance Card
• Photo ID
• Referrals (If required by your insurance)
• Co-Payments (If required by your insurance)

Please use the links below to download and print our patient forms.

Alabama High School Physical Form

General Patient Forms for all Doctors:

New Patient History Questionnaires (PDF)

New Complaint Questionnaire for New and Existing Patients (PDF)

Demographics Form (PDF)

HIPAA Privacy Form

Financial Responsibility Form

Consent for Treatment Minor Child (PDF)

Consent for Treatment Minor Child (Digital)

Medical Records Request Form

Patient Medical Records Authorization

For questions related to form completion for FMLA or Disability, please call 972-895-2138.

Additional Patient Forms for Spine Doctors:

• James L. West, III, M.D.
• Todd K. Volkman, M.D.
• Clinton W. Howard, IV, M.D.
• Andrew T. Henderson, M.D.

Spine Form (PDF)

Scoliosis Form (PDF)