PATIENT FORMS and Payment Methods
Accepts new patients
| Medicare | Medicaid | Workers' compensation | Other |
|---|---|---|---|
Medical insurance plans and payment options
Blue Cross/ Blue Shield, United Healthcare, Healthspring, Health Choice
Cash, Check, VISA or MasterCard
Office information from Sports Medicine & Orthopedic Specialists, PC
Application for EmploymentWe here at SMOS are equal opportunity employers and are always striving to have the best employees in town. We currently have a need for an Orthopedic Tech / Orthopedic Physicians Assistant / Certified Athletic Trainer. If you are interested, you may complete this application and fax it along with your resume to 205-595-0472 or e-mail it to manager@bsmos.com. We will keep all applications on file and review those first when filling a position.
Financial Policy
This is a copy of the financial policies and procedures of our practice. For your convenience, we have answered a variety of commonly-asked financial policy questions.
Health History
Please complete this form and bring with you to your appointment. If you have any changes in your medications or history since your prior visit, this form needs to be updated.
HIPAA Release Form
Please print and fill out this form for your first visit or if you wish to make any changes to your HIPPA form.
Notice of Privacy Practice
Our office's notice of privacy practice.
Patient Information Form
Please complete this form and bring along with other paperwork to the office for your first visit. You may also be asked to update this form annually. This form also needs to be updated if you have any changes in your address, personal information, or insurance.
Contact Information
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