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For Patients
 
Orthopaedic Center Admission Forms

In order to facilitate your admission to The Orthopaedic Center, please download the forms listed below. You may fill them out online, but you will not be able to save the form. Please make sure to print the forms. You can either mail or fax the forms to the address or number listed below. IT IS IMPORTANT WE RECEIVE THE FORMS 2 to 3 BUSINESS DAYS BEFORE YOUR APPOINTMENT.

For new pediatric patients to the Orthopaedic Center.

  • Pediatric Questionnaire
  • Pediatric Registration Intake Form
  • Conditions of Admission
  • Notice of Privacy Practices
  • Patient Self-Determination Act
For new adult patients to the Orthopaedic Center.
  • New Patient Admission Form
  • Orthopaedic Questionnaire
  • Registration Intake Form
  • Conditions of Admission
  • Notice Of Privacy Practices
  • Patient Self-Determination Act

For Pre-Op/Post-Op/Follow-up patients to the Orthopaedic Center.

  • Conditions of Admission
  • Notice of Privacy Practices
  • Patient Self-Determination Act
Please mail your completed packet to:

Cedar-Sinai Orthopaedic Center
444 S San Vicente Blvd. Suite 603
Los Angeles, CA 90048
With Attention to your specific physician.

Should you choose to fax your completed form, please send it to: 310-423-9958.
 
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