Patient Forms

The Physicians and staff at CORE Orthopaedic Medical Center would like to welcome you as a patient. Thank you for choosing our practice. Please select the title of the forms you’d like to see and print. You may complete these forms and bring them with you to your next visit, or mail them to us:

New Patient Forms

• New Patient Forms (for all Providers except Dr. Loren)
• New Patient Forms (Dr. Loren’s patients only)
• New Patient Forms (Dr. Hajnik’s patients who are over 50)
• Workers’ Compensation New Patient Forms

Return Visit Forms (Dr. Loren’s patients only)

• Return Visit Follow-up Form (Dr. Loren’s patients only)

Other Forms

• Medical Records Release Form
• Notice of Privacy Practices