Thank you for scheduling an appointment in our office. It’s a pleasure to welcome you to Berkshire Orthopaedic Associates, Inc.
We ask that you complete this form prior to arriving at our office and return it to the check-in receptionist at the time of your appointment. Please make sure that you bring your health insurance card(s).
- If your health insurance requires a referral, please remember to contact your primary care physician prior to your appointment to obtain a referral.
- Please pick up any x-rays, MRI’s or CT scans if they were NOT taken at Berkshire Medical Center or Fairview Hospital.
- If you are under the age of 18, you must be accompanied by an adult. If no adult is present, the appointment may be rescheduled.
We appreciate your selection of Berkshire Orthopaedic Associates and we look forward to meeting with you.