Ortho Walk-In Clinic Registration Forms

The Orthopedic Walk-In Clinic’s registration forms are below. To speed up registration process, you may bring your filled-out forms with you to your visit. First, download the appropriate PDF forms. Then, type your responses and print OR print and fill out the form by hand.

Initial Visit Forms

• Ortho Walk-In Registration Form
• Health History Form
• Ortho Walk-In Symptom Form
• Privacy Practices Acknowledgment Form
• Assignment and Release Form

Follow-Up Visit Forms

• Ortho Walk-In Symptom Form

Minor Forms

• Minor Consent Form
• School Sports Participation Form
• Permission to Accompany Minor Form