Information for Patients

What to bring: a checklist for your child's orthopedic appointment

Appointment Information:

• Physician's Name
• Department (Orthopedic Surgery)
• Building Name/Location
  
  

	Name, address and telephone number of your referring physician
	Name, address and telephone number of your primary care physician (family doctor) if different from above
	Orthopedic Health History form
	List of medications your child is taking
	Gym shorts or another pair of shorts for the exam
	Medical records, x-rays, MRI's or other lab results from other facilities
	Social Security number of patient and parent with the insurance coverage
	Insurance card and insurance information, including referral
	Worker's compensation for accident/injury related visits - please bring your attorney's name, address, phone and case number

Other helpful items to make your visit more enjoyable:

• Books to read while waiting
• Snacks/Formula
• Diapers or a change of baby clothes
  
  

Before you leave your child's appointment

• Request all school notes/forms that need to be completed
• Request all prescriptions for medications, equipment, physical therapy, occupational therapy
• Request any copies of x-rays/films from radiology you wish to obtain for your records