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Patient Portal & Forms

Valley Bone and Joint Clinic has created a patient portal to help you access your basic health information. Please contact our clinic if you would like to get registered.

 

Our Patient Portal can help you to:

  • Communicate With Your Clinic – Send, receive, and document messages to stay in touch with your provider. Get answers to your medical questions privately from your clinic.

  • Request An Appointment – View details of your past as well as future appointments, request to schedule or cancel your appointments.

  • Fill Out Online Forms – Fill out the forms that are necessary to your scheduled appointment from the comfort of your home prior to your appointment.

PDF Forms

 

VBJC 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.

Patient / Insurance Information Sheet

Release of Information Request 

This is necessary in order to have your records released to another facility. This can be mailed, faxed or emailed to info@vbjclinic.com. Please allow at least three business days for this request to be completed.

 

Patient Rights Form

This 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.

 

Payment Agreement Form

View our HIPPA Policy

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