You should receive a text and/or email from our office one week before your scheduled visit with confirmation of your appointment date, time, and location. We encourage you to complete the pre-checkin forms before your appointment by selecting the link on your text/email. However, if you prefer, you can download and complete the forms prior to your appointment.
Please select from the following options to download and complete the necessary forms and bring them to your upcoming appointment.
Out of Network Waiver (if applicable)
I am a new patient:
New Patient Packet:
Please note: Your provider may have additional forms for you to complete. We encourage you to complete the digital forms that are sent to your email/cell phone one week before your appointment.
I am a returning patient, but I have changed my insurance plan or address:
I am a returning patient but I have not been seen in 3 years:
Acknowledgement of Receipt of Open Payments Database
Acknowledgement of Receipt of Notice of Privacy Practice
Doctor's Registration Form
- Dr. Adam Rivadeneyra - Regular and Concussion
- Dr. Asif Jillani
- Dr. Brandon Haghverdian
- Dr. Daniel DeBottis
- Dr. Daniel Gittings
- Dr. Daniel Q. Le
- Dr. David Kruse - Regular and Concussion
- Dr. David Smith
- Dr. Gerald Alexander
- Dr. Jay Patel
- Dr. Jeffrey Deckey
- Dr. Jeremy Smith
- Dr. Jon White
- Dr. Kevin Parvaresh
- Dr. Lawrence Barnett
- Dr. Mark Halikis
- Dr. Michael Danto
- Dr. Michael Nieto
- Dr. Michael Shepard
- Dr. Paul Dinh
- Dr. Robert Gorab
- Dr. Robert Grumet
- Dr. Steven Barnett
- Dr. Steve Kang
- Dr. Travis Scudday
Patient Education
Total Hip Replacement Patient Manual