Resources for patients of Genesis Orthopedic

We want you to have as much information online as you need to make your relationship with us as convenient and efficient as possible.

New patient forms

Save time by downloading patient forms from our website. Please fill out the forms below .

  • New Patient Packet. If you are new to our office, save time by printing and completing this packet in advance of your first appointment. Bringing the completed forms to your first appointment will decrease your time in the waiting room. The New Patient Packet includes information about your employer, insurance company, medical history, your symptoms, and contact numbers in case of emergency. Make sure you bring the completed forms as well as your insurance card with you to your first appointment.
  • Personal Medical History. The more information you can provide the easier it will be to serve you to the best of our abilities.
    Adult Patient Information and Intake
    Pediatric Patient Information and Intake
  • Forms Regarding Your Protected Health Information (PHI). These forms tell us with whom we may share information about your health, and what information may be shared.
    Disclosure of PHI to Family or Friends
    Authorization to Use/Disclose PHI

Insurance we accept

Genesis Orthopedic is a participating provider with the most common insurance plans in the Rogue Valley area.

  • Medicare
  • AllCare Health

More Resources

If you have any questions that aren’t answered here or you need help completing forms, please call us at 541-471-6033.