Patient Forms
Most Common Forms
Click on links for the most commonly used forms. Scroll below for more.
- Orthopaedics: New Patient Form.
- Medicare New Patient Paperwork – All Appointments Effective 1/1/25.
- Therapy Services: New Patient Form and I have a Private Insurance Insurance (e.g., PPO).
Orthopaedic Department
I am a returning OSS patient, but:
- It has been 3 or more years since I was last seen at OSS.
- I need a new orthopaedic provider.
- I have been seen by this doctor before but have a new problem.
- I have changed my health insurance plan or provider.
Pain Management (Dr. Chrystina Jeter)
- NEW PATIENT: I am new to OSS and to Pain Management.
- I am a returning OSS patient, but new to Pain Management.
Imaging (MRI, CT Scan, Bone Density)
- NEW PATIENT: I am new to OSS and to Imaging.
Please complete this form PLUS the relevant form below.
I am a returning OSS patient, but now:
Therapy Department
Includes physical therapy, hand therapy, and chiropractic.
- NEW PATIENT:New to OSS Therapy and have Medicare.
- Medicare New Patient Paperwork – All Appointments Effective 1/1/25.
- NEW PATIENT: New to OSS Therapy and have Private Insurance (e.g., PPO).
- NEW PATIENT: New to OSS Chiropractic.
Additional
Read What Our Patients Say
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“It was efficient, courteous and helpful. I called and they got me in within an hour of my phone call. I didn't wait long, they gave me x-rays and I saw a doctor within 30 min total. ”- A.R.
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“Two years since I had both knees replaced and all is good! I believe I left a very positive review not long after, so this is basically a repeat of that. Dr Shahan Yacoubian does the knee replacements, and he knows what he is doing. His staff is great too and their physical therapy center next door is top notch! They were great! Didn't push too hard to ... ”- Marc S.
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“Dr. Feldman has treated me on and off for over ten years. ... I love that OSS has everything he needs to diagnose in-house which makes it very easy. ”- Stacey L.
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“Dr. Korchek was outstanding during both of my hip replacements. (It's due to him that I'm out standing, myself!) His explanations during every step of the process are clear, creating an atmosphere of complete confidence and trust. He was attentive before and after the procedure and the surgery itself was flawless. ”- Anonymous
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“Dr. Moses was Fantastic He diagnosed my hand problem and gave me all the information I needed to know about having a Trigger Finger. I've never had an appointment go so well. Kudos to the entire staff. ”- P.C.
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“I could not walk I had to hop, my hip was really bad and was in need of total hip replacement. I was sent to Shahan Yacoubian I have not felt so good in the last 5 years, Dr Yacoubian reassured me that / will be better, I have not be so happy in years, I personally recommend him with being a top Dr that I have ever had and I would go back to him in a ... ”- Sheila C.