Doctor Smith Orthopaedic and Arthroscopic Associates, P.C.

Orthopaedic & Sports Medicine Specialists

Office Information: Medical Forms

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe icon. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you.

Privacy Notice (HIPAA)
Patient Registration Form
Medical Information Form
Pain Drawing
Insurance Information Request
Release of Information
LHSAA Medical History Evaluation

If you cannot access the forms you can click on the icon to download the software.

Alexandria • 224 Pecan Park Avenue • Alexandria, LA 71303 • Phone: 318.443.9191 or 866.26.ORTHO • Fax: 318.443.9190
Oakdale • 142 Hospital Drive • Oakdale, LA 71483 • Phone: 318.443.9191 or 318.24.ORTHO
Winnfield 601 West Lafayette Street • Winnfield, LA 71483 • Phone: 318.628.6303
Marksville • 4239 Highway 1192, Suite 200 • Marksville, LA 71351 • Phone: 318.253.3118