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| Office Polices |
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NOTE - WE REQUIRE 48 HOUR ADVANCED NOTICE FOR ANY CANCELLATION OF APPOINTMENTS. YOU WILL BE CHARGED FOR ANY MISSED APPOINTMENT AT A MAXIMUM CHARGE OF $50.00. PLEASE PRINT THIS DOCUMENT FOR ADDITIONAL OFFICE POLICY INFORMATION! This document will help provide you with a general outline of our office polices and important information about what you can expect from our staff. Please take the opportunity to review this Office Policy document. Thank you.
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| New Patient Data |
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PRINT- New Patient Data Form: Complete all the information. Co-pays will be collected at your appointment. Please bring xrays and all radiographic studies with you to your first appointment. We will also need a copy of your insurance card(s) for our records. If any one of these items are missing at the time of your visit, it may be necessary to reschedule for a later date when all information can be made available. Thank you.
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| Patient Medical History |
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PRINT- This is a 2 page form. The information you provide on this form will provide valuable information to the physician at the time of your visit. Please do your best to fill it out completely. Thank you.
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| HIPAA Privacy Statement/English |
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PRINT - This is our Privacy Statement which describes how we use your private medical information.
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| HIPAA-Privacy Statement/Spanish |
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PRINT - This is our Privacy Statement which describes how we use your private medical information.
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| Wound Care Guidelines |
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This instruction sheets will give you the information you need for your post operative wound care. This was given to you at the time of your pre-operative visit. If you lost the original, you may download and print this instruction sheet. Thank you.
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| SCOI Cast Care Instructions |
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Shoulder Range of
Motion Exercises |
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| Health Information Disclosure AurthorizationForm |
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If you need your medical records sent to or from another doctors office, you must provide the following form to the physician of record authorizing the release of your medical information. The physician has 2 weeks to comply with your request, so please allow sufficent time when requesting records. Thank you.
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| Pre-Post Operative Instructions |
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Please refer to this handout for instructions after surgery. This was given to you at your pre-operative visit and is available for you to print should you have misplaced the original.
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| Shoe Recommendations |
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You may download and print this form for the shoes that Dr. Abidi recommends. |
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| 1 -Foot and Ankle Questionnaire |
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Please print and complete this form and mail or fax it (831) 475-4344 to the office; attn: Brian Martin. Thank you.
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| 2 -SF-12 |
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Please print and complete this form when requested and mail or fax (831) 475-4344 - to the office; attn Brian Martin
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| 3 -Hindfoot Scale |
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Please print and complete this form when requested and mail or fax (831) 475-4344 - to the office attn: Brian Martin. Thank you
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| FOR DOCTOR USE ONLY - BASG Consent |
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NOT FOR PATIENT USE |
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| FOR DOCTOR USE ONLY - DSCH Orders |
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Not for Patient Use. |
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| FOR DOCTOR USE ONLY - DSCH- SX PreReg |
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Not for Patient Use |
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| FOR DOCTOR USE ONLY - Forest Consent |
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Not for patient use. |
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| FOR DOCTOR USE ONLY - RCU Orders |
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Not for Patient Use |
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| FOR DOCTOR USE ONLY - SCSC - SX PreReg |
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Not for Patient Use |
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| FOR DOCTOR USE ONLY -FOREST SX PREREG |
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FOR DOCTOR USE ONLY! |
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Some files require Adobe Acrobat Reader to open. Click on the Acrobat Reader icon if you do not have Adobe Acrobat Reader and wish to download it.
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For Patient 
