Preparing for Your Visit

Thank you for choosing Orthopedic Institute of Pennsylvania. We want to make sure your visit is as smooth and convenient as possible.

To help us better serve you, please bring the following materials with you to your first appointment:

  • List of questions for your physician
  • List of symptoms
  • List of all medications you are taking, including prescriptions and over-the-counter medicines
  • Referral from your primary care physician, if required by your insurance company
  • Any recent X-ray or MRI films related to your condition
  • Any recent tests related to your condition
  • Current insurance card or information related to an auto injury or workers’ compensation
  • Photo ID, including a driver’s license or any other state or federal issued photo ID
  • List of prior surgeries and medical history

Please visit our patient portal to fill out your history and general information. The forms below should be printed and filled out prior to your visit, if you are seeing one of the specific doctors listed below.

Forms Intended for
Minor Policy and Authorization Packet Minors (Parents please complete)
Authorization for Release of Medical Information All Patients
Workers’ Compensation Select Patients
Dr. Himmelwright Patient Questionnaire Dr. Himmelwright’s Patients
Dr. Himmelwright Patient Consent Dr. Himmelwright’s Patients
Dr. Fernandez Spine Form Dr. Fernandez’s Patients
Dr. DeLuca Hip Score Form 1 Dr. DeLuca’s Patients
Dr. DeLuca Hip Score Form 2 Dr. DeLuca’s Patients


Our Providers

Help Is Available at OIP

Our staff is dedicated to making a difference in the lives of our patients.

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Hershey Office Patients: Please be aware of increase in traffic in the area this week 10/9/19 -10/11/19 due to the Antique Car Show.