Patient Information

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As a new patient of Dr. Reddy, we appreciate you choosing us. By filling out these forms ahead of time you will save significant time during your appointment.

 

New Patient Forms

Your First Visit

Your first visit with Dr. Reddy as a new patient will be at one of our South Bend Orthopaedics offices. If you are unable to make your scheduled appointment, please cancel at least 24-hours in advance. Your courtesy will allow another patient to make an appointment during that time.

 

Please bring the following items with you to your appointment:

  • Current Photo ID
  • Current Insurance Card
  • Acknowledgment Form
  • All Previous X-ray, MRI, CT Scans and Report within One Year
  • Written Referral, if required by your insurance policy
  • Written Worker’s Compensation Authorization – if applicable

 

In addition, please fill out and bring the forms below with you to your first visit:

 

Also, please fill out and bring the disability index form below that corresponds to your condition:

Discharge Instructions