Patient Forms
As we all know, sometimes doctor visits require necessary paperwork. To make it more convenient for you, you may download our required forms, print them, and fill them out prior to your appointment at Lewiston Orthopedics.
Along with your completed paperwork, please bring the following with you to your scheduled appointment:
- Insurance card
- Photo ID
- Referrals (if required)
- Co-payments
For MRI scans, wear loose-fitting clothing (no metals).
New Patient Forms
Patient Information Form
Medical History
History of Present Illness
Chronic Status Conditions
Patient Financial Policy
Medication List
Clinical Medication Policy
Consent to Release/Obtain Patient Records
Spine Form
Lewiston Orthopedics, a Division of Catalyst Medical Group, complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
The latest version of Adobe Acrobat Reader is required to view and print PDF files, and it is available here.