Before You Arrive

Step Two: Completing Your Pre-Visit Forms

In order to make the best use of our time together, you should come prepared for your visit by completing one or more of the forms below. They can be downloaded by clicking on the icon, filled out at home, and either brought to our office during your visit, or faxed to us in advance at 510-749-0975.

Complete Your Identification Form

The first form we need you to complete is a simple one-page document with basic identification information. Letting us know what kind of health insurance coverage you have is also helpful. This form is for first-time patients, or those existing patients that have had a change in the information being collected.

If you have questions or need help, just call our center (510-52-BONES) and someone from our staff will assist you.

ID Form PDFID Form - Word

Complete Your New Patient Medical History Form

If you are a first-time patient, in order to better understand your particular orthopedic condition, we need to find out as much as we can about your medical history, so there is a Medical History Form form that needs to be completed. 

The medical history form is very thorough and incredibly helpful in assessing your situation during the initial evaluation that our clinical staff will be performing once you get to the Bay Area Bone & Joint Center.  Do the best you can to complete it.

History Form - PDFHistory Form - Word