For New Patients
Your Physician is an Expert on Medical Care. You are the Expert on Yourself.
Many people are more satisfied with their health care if they share the responsibility with their doctor. Your physician is an expert on orthopaedic health, but you are the expert on yourself. Often there is more than one option for diagnosing or treating a condition. By being a partner with Dr. Matthys, you can help choose the option that best fits your values, beliefs, and lifestyle. You also will feel more confident about carrying out the chosen treatment. Being prepared will help you get the most out of your appointment:
Medical Records to Bring
Medical Records Release Form
Please complete the forms appropriate for your condition prior to your arrival at the office, if possible. If you have been evaluated previously for this or a related condition, bring all materials with you.
What to Think About
Before completing the patient Medical History Form below, please think about your condition and be prepared to answer the following questions:
- What are your main symptoms?
- How long have you had your symptoms?
- What were you doing when your symptoms started?
- Have you had this problem in the past?
- What was the diagnosis?
- How was it treated?
- How and when did an injury occur? How was it treated?
- Have you had any injuries in the past to the same area? Do you have any continuing problems because of the previous injury?
- Have you ever had surgery in that area?
- What activities, related to sports, work, or your lifestyle, make your symptoms better or worse?
- Do you think that activities related to your job or hobbies caused your symptoms?
- What home treatment measures have you tried? Did they help?
- What nonprescription medicines have you taken? Did they help?
Forms to Complete
Patient Registration Form
Patient Payment Policy
Notice of Privacy Practices
Print and Fill out the APPROPRIATE Medical History Form
This form helps us understand the nature of your current condition:
Hip(s) or Back Problems
Knee(s) Problems
Shoulder(s) Problems
Elbow & Wrist Problems
Foot & Ankle Problems
Prepare for your Office Visit
In addition to completing the above forms, we will also require the following information for your fist visit:
- Driver's License or Other Valid Government-Issued Photo Id
- Insurance card
- Co-payment due for visit
- If applicable, any referral forms
- If applicable, any X-Rays, MRI Films, CT Scans, Bone scan, or EMG
- If applicable, any pertinent medical history such as lab results
Get Directions to Our Office
Visit our Locations page to see a map of our office and get personalized driving directions.
Cancellations
If you need to cancel or post-pone your appointment, please contact our office at least 24 hours before your scheduled appointment.
We Look Forward to Seeing You!
Please arrive 20 minutes early if you have not yet filled out these forms. If you have completed forms with you, you only need to check in with the reception desk 5 minutes before your scheduled appointment.
Thank you for your assistance completing this information. We look forward to seeing you on the day of your appointment!