Steven F. Harwin, MD, FACS | Orthopaedic Surgeon, New York, NY
Steven F. Harwin, MD, FACS | Orthopaedic Surgeon, New York, NY

New York Required Medical Forms

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by Dr. Harwin and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe icon. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you.

New Patient Forms

* Privacy Notice (HIPAA)
* New Patient Introduction
* Patient History
* Patient Demographic
* Patient Form Policy

Forms Related to Surgery

* Informed Consent for Treatment and Surgery
* Pre-Operative Instructions and Check List – Page Being Updated
* Pre-Operative Classes at Beth Israel for Total Hip and Total Knee Replacement
* Pre-Operative Testing Requirements for Your Primary Care Doctor
* Pre-Operative Medical Clearance for our Primary Care Doctor

Download Adobe ReaderIf you cannot access the forms you can click on the icon to download the software.

 
The Center for Reconstructive Joint Surgery
910 Park AvenueNew York, NY 10075(212) 861-9800
The Center for Reconstructive Joint Surgery • 3555 Bainbridge Avenue • Bronx, NY 10467 • (718) 655-2400
Research Office • Beth Israel Medical Center • 1st Avenue 16th Street • New York, NY 10003 • (212) 861-9800

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Last Modified: October 17, 2012 | Site Map