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FREE
Saturday Student
Sports Injury Clinic

August 27th to October 29th
8 a.m. – 10 a.m.
Lakeside Office Only
No Appointments Necessary
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Office Information: Medical Forms

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe icon. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you.

Privacy Notice (HIPAA) Patient Information Medical History Questionnaire Family & Friends Contact Form

If you cannot access the forms you can click on the icon to download the software.

If you would like to Release Medical records to or from Lakeside Orthopedics, please complete the Medical Records Authorization for Disclosure of Information form.

Authorization for Disclosure of Information

If you cannot access the forms you can click on the icon to download the software.