To make your visit to our facility a little quicker, please print, complete, and bring your registration forms listed below. Each patient must complete form 1, form 2 and one of the remining forms for a total of three forms.

1) ALL PATIENTS must complete our Insurance Waiver (click here)

2) ALL PATIENTS must complete our Patient Financial Obligation Agreement (click here)

3a) If you are scheduled to see Dr. HARVEY or Dr. MOLTER for your back or hip (click here)

3b) If you are scheduled to see Dr. HARVEY or Dr. MOLTER for your neck (click here)

3c) All remaining patients that have not completed form 3a or 3b (click here)

For your convenience, Blair Orthopedics offers the Patient Easy Pay Feature.  This eco friendly feature eliminates receiving monthly statements and protects potential delinquent balances on your account.

Simply print the below Patient Easy Pay Consent Form, complete the information, bring it to your next appointment or mail it to Blair Orthopedics.

Patient Easy Pay Consent Form

Authorization to Send Your Medical Records (click here)

Authorization for Your Child's School (click here)