Patient Forms
All new patients will need to complete several forms prior to your first visit. To save time in our office, you can print and complete many of these forms in advance. (Note: these are PDF files; you must have a PDF reader such as Adobe Acrobat Reader to open these files).
All new patients should complete forms #1 and #2 below:
1) Patient Information (1 page): click here
2) Information Practices Consent Form (1 page): click here
If instructed by our office, patients seeing Dr. Bush,
Dr. Pitts, Kevin Pilecki PA-C, or Joy McMasters PA-C (orthopaedic patients) should complete form #3 below:
3) Orthopaedic New Patient History (2 pages): click
here
If instructed by our office, patients seeing Dr. Jimenez
(physiatry/PM&R patients) should complete form #4 below:
4) PM&R New Patient History (3 pages): click here
Dr. Andrew P. Bush, Owner/President
Dr. Andrew P. Bush, Owner/President
