Preparing for your visit

In order for us to provide the best care for you, it is important that you bring the following items to your visit:

• Insurance cards
• Driver’s license or photo ID
• Relevant xrays or other studies such as MRI’s, CT’s, bone scans, with corresponding reports
• List of medications
• Co-pay
• Referral if required by your insurance carrier

Obtaining a complete medical background on every patient is an early important step in your care. You can facilitate this process by accessing patient forms from our practice. You can quickly and conveniently download them below, request them by fax, or pick them up at our office.

Download Patient Forms

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.

• Patient Information Form
• Patient History Form
• Privacy Consent Disclosure Form
• Notice of Privacy Practices

Medical Records

If you require a copy of your medical record for any purpose, you are required to submit the request in writing on our authorization form. Under Kentucky law, individuals are entitled to one free copy of their medical record. Once the copies have been provided for free, a charge may be assessed for additional copies. It is the policy of Etown Ortho to charge $1.00 per page for additional copies, and once an authorization is completed, we have 5 to 7 business days to provide the records to you.

Completion of Forms

Please bring all forms requiring completion by the physician to your appointment. This includes forms for employment, school, sports, disability, etc… There will be a charge of $10.00 per completed form and you should allow 5 to 7 business days for completion. Be sure and let our office staff know if you plan to pick up the form, or any other details on where to send it.

To check the status of forms or medical records, you can contact our office at 270-737-4343 and dial extension 107.

Appointments

Appointments are scheduled during regular business hours which are Monday through Friday from 8:30 a.m. to 5:00 p.m. Patients are scheduled by appointment and medical need. You can help us by arriving at or before your scheduled time. We will make every effort to see you on time, however, our physicians are always on emergency call, so emergencies and surgeries may cause unexpected wait times. If this happens, we will try and keep you informed of any delays and if necessary you may reschedule your visit.

If you are a previous patient, appointments are normally scheduled with the physician who treated you during your last visit. It is best that you are treated by the same physician since they know your history and treatment plans,etc…

If the patient is a minor (under the age of 18), they must be accompanied by a legal guardian or have written permission by their legal guardian to be treated. If they come to their appointment without written permission or without someone with them, the appointment will need to be rescheduled.

Prescriptions & Refills

Requests for prescriptions or refills will only be answered during normal office hours in order to access your medical records and to consult with your physician. Please keep in mind that sometimes your physician may not be available immediately to address your request. To request a prescription refill during normal office hours, contact (270) 737-4343, and dial ext. 117.

After Hour Care

For assistance after normal office hours, contact our office for instructions on how to obtain care. If you have a serious medical emergency, you should go to your nearest hospital’s emergency room.