Forms for Patients
– General patient intake information
– Our offices adhere to all aspects of HIPPA privacy laws. A copy of these are available at each office.
– JP&O will never release medical or appointment information to any persons with prior authorization from the patient.
– JP&O must have parental or guardian consent to treat any minor.
– JP&O Labs utilize cameras and video for patient care. No images or information is shared for use other than medical research or insurance purposes.
Surveys for Patients
– General patient care survey
– Patient survey for orthotic devices, products and care
– Patient Survey for footwear devices, products and care
– Patient survey for prosthetic devices, products and care
– Patient survey for compression garments and care