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An information packet will be mailed to you when your appointment is scheduled.
This packet will include a letter of introduction, directions to our office, and
forms for you to complete. For your convenience, these forms are also available to download as PDFs
below.
You may bring the completed forms with you to your appointment or you may mail
them to the address listed at the bottom of this page. If you choose to mail your forms,
please return them at least one week prior to your appointment.
To download a form: right-click the name and choose Save Target from the pop-up menu.
For Mac users: hold down the control key and click the title
and then choose Download from the pop-up menu.
All WMO forms are saved as Adobe PDFs and can be opened, read and printed on any computer using
the free Adobe Acrobat Reader.
Click the following icon if you need the latest version of Adobe Reader software.
REGISTRATION
– You will need to complete this form and bring it with you to your first appointment.
HEALTH HISTORY FORM
– You will need to complete this form and bring it
with you to your first appointment.
FINANCIAL POLICY
– You will need to review and sign this form, and bring it with you to your first appointment.
MEDICARE INFORMATION
– This form must be completed if you are a new patient with Medicare Part B coverage,
or if you are an established patient new to the Medicare Part B program.
PRIVACY POLICY ACKNOWLEDGEMENT
– You will need to sign this form after reviewing our
“Privacy Policy” and bring it with you to your first appointment.
MEDICAL RECORDS RELEASE FORM
– You will need to complete this form to authorize our office to release your medical records.
Our staff is available to assist you from 9:00 am to 4:45 pm Monday
through Friday with any questions you may have.
POSTAL ADDRESS:
West Michigan Orthopaedics
East Paris Medical Center, Suite 215
1000 East Paris Avenue, S.E.
Grand Rapids, MI 49546
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