URGENT Notice to Our Patients Regarding COVID-19. LEARN MORE.

Patient Forms


 

If you have made your initial appointment, you can preregister by clicking on the links below to download our New Patient Forms. Please print and complete the forms prior to your arrival. This will help to speed up the new patient registration process.

 

New Patient Forms:

 Patient Information Form

 History Intake Form

 WRO Financial Policy

 Notice of Privacy Practices

 

Request for Medical Records:

 Authorization for Release of PHI

 Authorization to Receive PHI

 

MRI Forms:

 Open MRI Patient Safety Form

 MRI Scheduling Form

Location
Wisconsin River Orthopaedics
140 24th Street South
Wisconsin Rapids, WI 54494
Phone: 715-201-3624
Office Hours

Get in touch

715-201-3624