Patient Forms

The forms below may be used for new and established patients to provide our office the most current information about you, your health status, your contact information, and your insurance coverage. To save time at your next appointment, please complete the forms attached below prior to your appointment and present them to the front desk upon check-in.

The forms below may be used for new and established patients to provide our office the most current information about you, your health status, your contact information, and your insurance coverage. To save time at your next appointment, please complete the forms attached below prior to your appointment and present them to the front desk upon check-in.

Patient Intake Form:

Summary of Notice of Privacy Practices:

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Hi-Tech Artificial Limbs can provide you with the most up-to-date technologies available today.Contact us today for your individual consultation.