Download FormsNew Patient Forms
- Privacy Notice (HIPAA)
- Acknowledgment of Privacy Notice
- New Patient Introduction
- Patient History
- Patient Demographic
- Patient Form Policy
- Informed Consent for Treatment and Surgery
- Pre-Operative Instructions and Check List
- 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
If you cannot access the forms you can click on the icon to download the software.
Provided on our website are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician 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.