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The journey from pain to optimized health starts here.  We don't just heal symptoms, we restore vitality and mobility.
We get you back  in the game!
(813) 855-8450
Copyright 2010, Westchase Sports Medicine Orthopaedics, All Rights Reserved.
Patient Forms
All patient forms can be found on this page.  Locate the appropriate forms and click on the icon to download them.
Please fill out the forms by following these simple steps:

1.        Click on the appropriate icon, open and print the one page PDF form.  Click here if you need to install Acrobat.
2.        Fill out the form.
3.        Bring the form with you to your appointment.  If requesting medical records, fax the form to 813-855-7540.
Note: All of the forms on this page are in PDF format and must be opened using Adobe
Acrobat Reader. If you do not have Adobe Reader installed on your computer, click on the
logo to the right, download and install the application, then return to this page to download
the forms you need. Adobe Reader is free!
MEDICAL HISTORY
Please complete this form if you are being seen by a
Westchase Sports Medicine Orthopaedics physician.
NEW PATIENT REGISTRATION
All New Patient's of Westchase Sports Medicine Orthopaedics
must complete this form.
MEDICAL RECORDS REQUEST
Please complete this form if you are requesting a copy of
your medical records to be sent to yourself or to a third party.
Print, complete the form, sign and then fax to (813) 855-7540.
RECEIPT OF PRIVACY PRACTICES
All New Patients must read and sign this form.