Paperwork

The following documents can be printed and completed prior to your visit:


 
Patient Data Sheet
 
 
Medical History
 
 
Patient Waiver

 Patient Medication List
 
 
Terms and Conditions
 
 
Privacy Policy (HIPAA)
 
 
HIPAA Packet

 
Health Information Release Form






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The Joint Replacement Center of Scottsdale
Medical Plaza  I, #202 - 10250 N. 92nd Street - Scottsdale, AZ 85258
Phone: (480) 237-5727  Fax: (480) 657-3207  Email: andrea@tjrcs.com
SecurityMetrics for PCI Compliance, QSA, IDS, Penetration Testing, Forensics, and Vulnerability Assessment