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Patient Services at Jewett Orthopaedic Clinic

A positive patient experience is our number one priority at Jewett Orthopaedic Clinic. For over 70 years, we have focused on patient care, devoting our practice to treatment and technology to meet the needs of our individual patients.

Jewett Orthopaedic Clinic strives to provide innovative orthopaedic care. We have built a clinic that facilitates not only patient treatment, but incorporates diagnosis, surgery, rehabilitation and return to an active lifestyle. Below are the patient services we offer within our clinic to ensure that the best technology is used to diagnose and treat a patient's injury.

Please fax completed forms, prior to your visit, to: (407) 643-2801

Download New Patient Registration Forms

If you are a new patient to Jewett, (age 18+), please complete the following information.

Patient Registration Information (all new patients)

Consent to Use or Disclose Protected Health Information (all new patients)

Consent for Electronic Prescribing (all new patients)

Assignment of Benefits and Direction for Payment
and Assignment and Lein for Medical Services Rendered (all new patients)

Download Medical History Forms

If you are a returning patient with Jewett Orthopaedic Clinic, please complete the following information.

Adult Medical Registration and Medical History Forms (ages 18+)

Child Medical Registration and Medical History Forms (ages 0 -18)

Download MRI Registration Form

Please download and fill out the the form below.

MRI Registration Form

View Patient Brochures

We have created brochures for each type of specialty we offer our patients. To view the patient brochures in PDF format, click the link below to view the list.

View Patient Brochures »


 

Jewett History

Jewett has been providing innovative care for over 75 years. See our timeline of progressive leadership. View Timeline »

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