Our top priority is the well-being of our patients, our staff and the communities we serve.
patient resources

Patient Forms

We are growing to serve you.  Visit one of our 5 TOG locations, 4 satellite clinics & 4 physical therapy locations.

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)

Medical Records Request Form

Patient Medical Records Authorization

For questions related to form completion for FMLA or Disability please call (251) 328-4866.

Additional Patient Forms for Spine Doctors:

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

Spine Form (PDF)

Scoliosis Form (PDF)

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