Patients Forms
The Tallahassee Orthopedic Clinic is a proud member of BigBendHealth.com. We would like to encourage all our patients to subscribe to BigBendHealth.com and create your Personal Health Record (PHR). Your PHR will offer you a way to easily organize your basic medical history for easy access by your physician. This will provide quicker service and a faster response to your medical needs as well as safe storage in the event of a natural disaster. BigBendHealth.com is Governed by Health Insurance Portability and Accessibility Act (HIPAA) and Florida Statutes.
To learn what’s in it for you, visit www.BigBendHealth.com.
Below is a list of forms to help you in your visit to Tallahassee Orthopedic Clinic. Please note that every TOC patient must fill out the TOC Patient Information Form.
NOTE: If you are a patient of Dr. Jordan or Dr. Thompson, please complete the Medical History Form for Dr. Jordan and Dr. Thompson in lieu of the Patient Medical History information located in the Patient Information Form packet.
NOTE: If you are a patient of the Spine Clinic, please complete the Spine Clinic Medical History Form in lieu of the Patient Medical History information located in the Patient Information Form packet.
Patient Information Forms
Please complete, sign and bring your forms with you to your visit. The forms are not automatically saved - please retain a copy for your records.
TOC Patient Information Forms - All TOC patients must complete the below TOC Patient Information Forms.
TOC Patient Information Form [PDF]
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If you have been scheduled for an MRI, please complete the below MRI Patient Information Forms.
MRI Patient Information Form [PDF] - For MRI Patients Only.
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If you are a patient of Dr. Jordan or Dr. Thompson, please complete the below Patient Medical History Form.
Patient Medical History Form [PDF] - For Dr. Jordan and Dr. Thompson's Patients Only.
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If you are a patient of Dr. Alexander, Dr. Park, Dr. Wingo or Mel Gaston, PA-C, please complete the below Spine Clinic Medical History Forms.
Spine Clinic Medical History Form [PDF] - For Spine Clinic Patients Only.
Patient Privacy
Authorization To Release Information Form [PDF]
Our Privacy Policy: Review online
Payment Policy
Our Payment Policy: Review online
