Patient Forms

 

Patient Insurance Information.  If you are visiting our clinic for the first time, or if it has been more than a year since you were seen, we ask that you complete this and submit it online.

VBJ Medical History form.  If you are visiting our clinic for the first time, or if it has been more than a year since you were seen, we ask that you complete this and bring with you to your appointment.

Release of Information Request is necessary to have your records released to another facility. This can be mailed, faxed or emailed to info@vbjclinic.com. Allow at least three business days for this request to be completed.

Patient Rights form allows you to designate who we can discuss your health information with (spouse, children, etc.). This form needs to be completed and returned to Valley Bone & Joint Clinic before we can discuss your care with others.

We have added our HIPPA Policy for you to review.