Forms

We are pleased to provide the following forms which can be downloaded and completed on Adobe Reader. Access to a printer is required. First time patients are encouraged to download the First Visit Forms. This will save time on your first visit.

Please click here for Directions and Contact Information

First Visit Forms:

Patient Information Form
Medication List
Rochester RHIO Consent Form
Release of Health Information to Family Members
Office Policy

Common Forms (not needed for first visit):

HIPAA Release of Information (from Varus Orthopaedics)
HIPAA Release of Information (to Varus Orthopaedics)

Notice of Privacy Practices


Nondiscrimination:

Notice of Nondiscrimination and Assistance for Limited English Patients: Varus Orthopaedics, PLLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Please click here for more information.

Please click here for information on assistance available to individuals with Limited English Proficiency.



Problems downloading and/or opening the forms? Adobe Reader (or a similar PDF reader) may not be installed on your computer. To download Adobe Reader, please click here. The webmaster can be contacted by clicking here

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