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.

If you don’t have Adobe Reader® on your computer, click here for a free download:get adobe reader

TallgrassPatientInfo
Registration Form
TallgrassPatientMedicalProfile
Patient Medical
Profile
TallgrassProblemQuestionaire
Problem
Questionnaire
TallgrassPrivacyNoticeReceipt
Privacy
Acknowledgement
TallgrassFinancialPolicy
Financial Policy
TallgrassPrivacyNotice
Notice of
Privacy Practices

Use these forms only if needed

TallgrassRecordRelease
Records Release Form
TallgrassConsultationRequest
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