| ORTHOPAEDIC SURGICAL SPECIALISTS Torrance, California |
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| OFFICE FORMS |
Click Here to Download Office Forms.
Please print, complete, and bring all of these forms (eight pages total) to your new appointment:
(Note: You must first download and print the forms then complete by hand in black ink.)
Attention!
If you have a new appointment with Dr. Peck then you must also download one or both of these forms:
Click Here for Pain management - if you are having neck or back injections, management of chronic pain
Click Here for Electrodiagnostics - if you are going to have nerve studies performed
If you have difficulty viewing these documents then Download Adobe Reader
Be sure to bring the following to your new appointment:
1. Picture Identification
2. Health Insurance Card
3. Completed Office Forms (see above)
4. Imaging studies and results (x-rays, MRI's, CT's) of your current condition
5. Medication list, especially pain or anti-inflammatory medications
Here is a list of health insurance plans that we accept. For the most current coverage please call our office.
Please print, complete, and bring all of these forms (eight pages total) to your new appointment:
(Note: You must first download and print the forms then complete by hand in black ink.)
Attention!
If you have a new appointment with Dr. Peck then you must also download one or both of these forms:
Click Here for Pain management - if you are having neck or back injections, management of chronic pain
Click Here for Electrodiagnostics - if you are going to have nerve studies performed
If you have difficulty viewing these documents then Download Adobe Reader
Be sure to bring the following to your new appointment:
1. Picture Identification
2. Health Insurance Card
3. Completed Office Forms (see above)
4. Imaging studies and results (x-rays, MRI's, CT's) of your current condition
5. Medication list, especially pain or anti-inflammatory medications
Here is a list of health insurance plans that we accept. For the most current coverage please call our office.
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