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Patient Forms

DB+

Cut Down On Waiting Room Paperwork!

If you’re a new patient, print out the forms below and fill them out before your first visit. 

Remember to bring your photo ID and current insurance cards to your appointment. Co-pays and account balances will be collected at that time.

The Orthopaedic Institute of Western Kentucky

(Download)

The Pain Management Center

(Download)

Request Medical Records from OIWK

(Download)

Request Medical Records from Another Facility

(Download)