Patient Information

Medical Forms

To receive a copy of your medical records, print out and complete our authorization form below and mail or fax back to our office at (703) 560-7218.

Medical Record Release Form

Notice of Privacy Practices

HIPAA Notice of Privacy Practices
HIPAA Notice of Privacy Practices - Spanish

Surgery Forms

Total Ankle Replacement Surgery Forms

Pre-Operative TAR Surgical Packet
TAR Surgical Clearance Forms
Post-Operative TAR Surgical Packet

Non-Total Ankle Replacement Forms (All Other Surgeries)

Pre-Operative Surgical Packet
Surgical Clearance Forms
Post-Operative Surgical Packet

The Centers for Advanced Orthopaedics is redefining the way musculoskeletal care is delivered across the region with locations throughout Maryland, DC, Virginia and Pennsylvania.

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