Forms and Office Policies

Patient Forms

The Orthopedic Medical Center provides our patients with office forms for your convenience.

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

We recommend you PRINT and fill these forms prior to your appointment to save time.

  • New Patient Forms 2024.pdf  
  • Please PRINT forms and bring to your appointment.
  • ( DO NOT sign and date the forms until the day of appointment.)
  • A copy of the Power of Attorney and/or Advance Directive MUST be provided if someone else is signing the FORMS for the patient.
  • If patient is a minor, must have a legal guardian present on your appointment.)

Mission Statement

At Orthopedic Medical Center we recognize the value of every person and are guided by our commitment to excellence and leadership...

Billing

The Orthopedic Medical Center - Reseda accepts cash and personal checks as well as the following credit cards:

  • Visa
  • MasterCard
  • American Express
  • Discover
  • Personal Check

Appointments & Cancellations

In the event that you need to cancel your appointment, kindly provide 24 hours notice. Your consideration in this matter will allow us to accommodate other patients who could benefit from an appointment.

Emergencies

Our office provides on-call service for emergencies. Call 818-708-8100 so that the physician on call can be contacted.

Patient Forms

The Orthopedic Medical Center - Reseda provides our patients with office forms for your convenience.

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

We recommend you PRINT and fill these forms prior to your appointment to save time.

  • New Patient Registration Forms
  • ( DO NOT sign and date the forms until the day of appointment.)
  • A copy of the Power of Attorney and/or Advance Directive MUST be provided if someone else is signing the FORMS for the patient.
  • If patient is a minor, must have a legal guardian present on your appointment.)

Patient Post-operative Instructions:

Physical Therapy Forms:

Note: These files are in PDF format. If you do not have Adobe Reader on your computer, you can download it for free by clicking here.

Patient Portal

You can login to our Patient Portal by clicking here.
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