Patient Resources

Thank you for selecting OSMC for your orthopedic and sports medicine needs. To schedule an appointment, please call us at (574) 264-0791 or book your appointment now, right online, just click the 'Book Appointment' button. We look forward to seeing you at one of our six convenient locations, where we serve patients from northern Indiana and southwest Michigan.

Pre-Registration

Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process. Please be sure to bring forms with you to your first visit along with any diagnostic films or other test results that may have been ordered or performed by another physician. 

If your insurance requires a referral for an office visit, you should coordinate this with the referring physician before your appointment with us. Physical therapy appointments require a referral if you plan to use insurance. Find out more about our referral policy.

Established patients can update forms online through our patient portal. If you need help accessing the portal, please call the office, and we’ll be happy to help. 

Accepted Insurance

OSMC Insurance Networks

New Patient Forms

• Medical History and Orthopedic Screen
• Consents and Authorizations
• Minor Consent Form
• Pain Questionnaire for patients of Dr. Christopher Annis, Dr. David Beatty, Dr. Gene Grove, and Dr. Jonathan Schrock

Patient Forms – in Spanish

Favor de imprima estas formas y traerlas con usted a su primera cita.

• Consentimientos Y Autorizaciones
• Declaración De Procedimientos De Indiana
• Declaracion De Testament
• Delegación de Autorización para el Consentimiento
• Directivas Avanzadas -Definición de directiva anticipada: término general que describe dos tipos de documentos legales, testamentos en vida y poderes notariales médicos. Estos documentos permiten a una persona dar instrucciones sobre la atención médica futura en caso de que no pueda participar en las decisiones médicas debido a una enfermedad grave o incapacidad. Cada estado regula el uso de directivas anticipadas de manera diferente. 1) Indiana tiene dos documentos legales que protegen el derecho del paciente a rechazar un tratamiento médico que no desea oa solicitar el tratamiento que sí desea en caso de que el paciente pierda la capacidad de tomar decisiones por sí mismo. Los siguientes formularios estarán disponibles en la intranet de OSMC si el paciente lo solicita: La Declaración de testamento vital de Indiana (Declaración A) B. La Declaración de Procedimientos para Prolongar la Vida de Indiana (Declaración B.)  2) En caso de que un paciente se presente al centro quirúrgico con una directiva avanzada / testamento vital, se notificará al director médico o al director de ASC. Se le informará al paciente que las órdenes DNR (No resucitar) no se cumplirán durante la visita perioperatoria. Esta conversación y la comprensión del paciente se documentarán en el.
• Historia Medica Y Exploracion Ortopedica
• Instrucciones Para El Médicos
• Reconocimiento Del Recibir La Notificación De Privacidad De OSMC
• Su Derecho a Decidir

Family Medical Leave Act (FLMA) & Disability Forms

FMLA FAQ and Who to Contact

Prescription Refills

Prescriptions and refills for established patients of OSMC are routinely issued Monday through Friday between the hours of 8 am – 5 pm. You can make your request by visiting our patient portal  or call us at 574-264-0791.

Our team will make sure that your request is addressed within 2 business days.

No refills are issued during the evenings, weekends, or holidays, as the doctors do not have access to your medical records during those times. It is helpful to anticipate your refill needs to avoid an interruption in your medication therapy. 

Information & Articles

Check out our blog for informative articles. We also have a patient education library.

• Articles and information on our Blog
• Patient education library