Forms
Link to info@haysortho.com for submission
- New Patient Form (.pdf)
- Hays Medical Center HIPAA Form (.pdf) (do not use Hays Ortho HIPAA form)
- Demographic Form (.pdf)
- MRI Questionnaire Form (.pdf)
- Patient History Questionnaire (.pdf)
- Workers’ Compensation Form
- Medicare Forms
- Request for Release of Information
- Consult Request Form
- MRI Order Request Form
