Patient Forms

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Patient Forms

For your first appointment with us, we ask that you please arrive 10 minutes prior to your appointment time to fill out some new patient paperwork and provide insurance information. However, if you would like to save some time in the waiting room, we have the same forms we would ask you to fill out available below.

Please bring the following to your first appointment:

  • Insurance card
  • Photo ID
  • Accurate list of current medications (names and dosages)

Below are some forms that all first-time ActiJoint patients need to fill out prior to their initial evaluation. Please feel free to download, print, and fill out these forms before coming in if their requirement applies to you. Otherwise, we will have them ready for you to fill out at our office.

These forms are given to/required of all new patients:

*If you are in need of it, ActiJoint can arrange for an English to Spanish translator if prior notice is given to us.

This form is required for all Medicare patients:
Medicare Patient Questionnaire
This form is required for all knee patients:
Knee Patient Questionnaire
This form is required for all hip patients:
Hip Patient Questionnaire
If you have any questions about these forms feel free to call our office or we would be happy to answer them when you arrive for your appointment! 
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At ActiJoint, we are dedicated to improving our patient's quality of life through non-surgical treatments. We deliver the highest standard of care through our results-driven, research-backed treatments for chronic and recurring knee pain. Our patients are our priority.