Documents

Registration Form: To complete your Registration Form prior to your appointment, please print out and complete this form and bring it with you to your appointment.

Release of Information Form: According to the policy of East Lansing Orthopedic Association, P.C, a written authorization must be completed for any and all record releases to third parties. Please print this form and return to our office.

Request for Form Completion: In order to have your disability form(s) processed, please print and fill out this form, and return it to our office along with your payment.

New Patient Request Form: Referring physicians, to refer a patient to our office, please print out and complete this form and fax it to (517) 394-4250. Thank you!

HIPAA Notice of Privacy Practices

ELOA Map

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