Patient Forms

Click on any Patient Form image below to open an Adobe Reader® file of that form. Please print, fill out and return these forms at your first appointment. For existing patients, if any of your personal or insurance information has changed, please fill out a new Registration Form and bring to your next appointment.

Registration Form Patient Medical
Profile
Problem
Questionnaire
Privacy
Acknowledgement

Financial Policy




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Notice of
Privacy Practices


TallgrassConsultationRequest

<<  Use these forms only if needed

Records Release Form

Orthopaedic
Consultation Request

 

Tallgrass Orthopedic and Sports Medicine
6001 SW Sixth Avenue, Suite 200  •  Topeka, Kansas 66615  •  785-233-7491  •  800-794-5242
6730 SW Mission View Drive  •  Topeka, Kansas 66614  •  785-228-9999  •  800-794-5242