Patient Information

For your convenience, please print and fill out all applicable forms and present them to the front desk when you arrive for your first office visit.

To use the forms, you must have a copy of Adobe Acrobat Reader. If you have trouble viewing these forms, once you unzip them, click here and download the FREE reader program.

Please sign and date the forms after you print them.


Insurance Verification

Our phone system is open from 8:30 AM to 5 PM Monday through Friday. The prompts will help direct your call to the correct department to handle your specific needs. If your physician is unavailable, they will try to get in touch with you within 24 hours. Should you experience an emergency during non-operational office hours, please dial the office number and the answering service will direct your call to the “on-call” doctor who will meet you in the ER, if necessary. We are affiliated with St. Luke’s Cornwall Hospital.

Patients are normally seen by appointment and by their scheduled appointment time. We respect our appointment times and ask that you do the same. If you arrive late for your appointment, you will be seen at your physician’s discretion. Emergencies do occur and we do our best to accommodate all our patients. Notify us with any changes in your schedule and we will try our best to assist you.

Should your medical and/or insurance information change, it is your responsibility to inform the receptionist.

Unaccompanied minors (anyone under the age of 18) need to bring authorization from a parent or legal guardian to receive medical care.

Prescriptions are only issued during office hours. When requesting a prescription or refill, having your medication and your pharmacist’s information ready will greatly speed up the process.

For copies of your x-rays, please call us 24 hours in advance to give us ample time to prepare them. There will be a fee for this service.

We welcome questions regarding fees and billing statements. Some services are billed globally. For instance, a fracture or surgery charge usually includes follow-up visits within 30-90 days of the procedure. This does not include x-rays and supplies. After this period, office visits will be charged.

Frequently, the explanation of benefits from your insurance company will call fracture care ‘surgery, ’ even though surgery has not been performed.

We ask that you read carefully the Financial Policy statement you will be given to sign and discuss any questions with our billing office prior to your appointment.

At Orthopedics and Sports Medicine, we never forget that our patients are our highest priority. We want your experience at our center and your time with our physicians to be to your highest satisfaction.

We make every effort to minimize wait times and maximize communication between our staff and our patients.

Your opinion matters to us, so feel free to click on “Send Us A Message” to let us know if there was anything in your experience that you were extremely pleased with or if there is anything we can do to improve future experiences at OSM.

The Physicians at Orthopedics & Sports Medicine, P.C. are affiliated with St. Luke's Cornwall Hospital, The Eastern Orange Ambulatory Surgery Center, and Orange Regional Medical Center.