Raleigh Hand to Shoulder Center in Raleigh, NC

Patient Forms

For new patients: please bring all prior test results to your appointment, including x-rays, CT scans, MRIs, and nerve test reports. If you have x-rays, MRI or CT scan, please bring the disc with you so that the doctor can review the images himself.

New Patient Form

This form provides information about you and your insurance. Please download, print, and complete this form and bring it with you to your appointment. 

Workers Compensation Request

Please download, print, and complete this form regarding worker’s compensation patients.

HIPAA Policy Form

This form describes how information about you may be used and disclosed, as provided for in the Health Insurance Portability and Accountability Act (HIPAA). Please read this form before your appointment. You will be asked to sign a form related to HIPAA when you visit our office.

Medical Information Release Forms

Post-Surgical Instructions

These are the instructions used after most surgeries. The instructions may be modified for your particular case. 

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