clinic home health information affiliations accepted insurance meet our staff meet our doctors patient and other forms maps and other offices	Advanced Orthopedic Center 1641 Tamiami Trail, Suite 1 - Port Charlotte, FL 33948 - (941) 629-6262   patient and other forms       Please print the appropriate form, fill it out completely and bring it with you to your appointment.
	Patient Privacy Notice - HIPPA   This form will be given to all patients per Federal requirements effective 04/15/03     Patient Medical History Form Please Complete this form before arriving for your appointment.   New Patient Form - Auto   Please Complete this form before arriving for your appointment.     New Patient Form - Workers Comp. Please Complete this form before arriving for your appointment.   New Patient Form - Commercial/Medicare Please Complete this form before arriving for your appointment.   Request for Records This form needs to be completed for release of records to or from our office.