Ph: (800)834-4020 . (717)761-5530 . Fax: (717)737-7197
Thank you for choosing Orthopedic Institute of PA. Below is a list of information you need to bring to your first appointment. Also, please review our online forms and, if you can, print and fill out those forms which apply to you. Bring your forms to your first appointment as well. We look forward to helping you.
To expedite the registration process it is important that you bring the following information to your appointment:
- Any x-rays, testing or information pertinent to your visit
- A list of all current medications and dosages (prescription and over the counter)
- A list of all prior surgeries and medical history of you and your blood relatives
- Your current insurance card or information related to an auto or worker’s compensation injury
- In order to streamline the check in process, if you have the capabilities, please print and complete the applicable forms from the link below:
Please print as needed and bring to your appointment.
Or you may use our on-line interactive forms where indicated
by the asterisk * and submit your information before your
appointment date.
Or you may use our on-line interactive forms where indicated
by the asterisk * and submit your information before your
appointment date.
On-Line Appointment Form *
On-Line Fax Form * < For Use by Referring Offices Only
All - Authorization for Release of Medical Information
All - Disability Request
All - Health History Form
All - Patient Information
All - Patient Information On-Line Form *
Dr. Wolf - Back Pain
Dr. Himmelwright - Patient Questionnaire
Dr. Himmelwright - Patient Consent
Dr. Werner - Patient Questionnaire
The forms are in a pdf format.
Adobe Reader may be downloaded free from the
following website: http://www.adobe.com