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. We look forward to seeing you at one of our five convenient locations, where we serve patients from northcentral Indiana and southwest Michigan.
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.
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
- Consentimientos Y Autorizaciones
- Declaración De Procedimientos De Indiana
- Declaracion De Testament
- Delegación de Autorización para el Consentimiento
- Directivas Avanzadas
- Historia Medica Y Exploracion Ortopedica
- Instrucciones Para El Médicos
- Reconocimiento Del Recibir La Notificación De Privacidad De OSMC
- Su Derecho a Decidir
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
- Completing and submitting our interactive prescription request form below
We will respond to your request 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.
Cast Care Instructions
If you have been fitted with a waterproof cast, we have some helpful tips and guidance on its proper use.
Medical Records Request
At OSMC, we accept workers’ compensation, Medicare, and most major insurance plans. Please contact your insurance company or you may call our office at (574) 264-4163 to find out if we accept your plan.
If your insurance plan requires you to pay a co-payment, co-insurance, and/or a deductible, you will need to pay at the time of your visit. For your convenience we accept cash, checks, Visa, MasterCard, Discover, and Care Credit.
If you have a question related to your bill or insurance, please contact our billing specialists at (574) 266-4163.
- No-Show Policy
- Grievance Policy
- Patient’s Rights
- Patient Responsibilities
- Notice of Privacy Practices
- Nondiscrimination Notice
Advance directives are those instructions about your future medical care should you be unable to participate in medical decisions due to serious illness or incapacity. Each state regulates the use of advance directives differently. Indiana has specific documents that protect the patient’s right to refuse medical treatment they do not want, or to request treatment they do want, in the event the patient loses the ability to make decisions for themselves.
- Indiana Do Not Resuscitate (DNR)
- Indiana Life-Prolonging Procedures Declaration
- Indiana Living Will Declaration
- Indiana Physician Orders for Scope of Treatment (Post)
In the event a patient appears at the surgery center with an advanced directive or living will, the medical director or the ASC director will be notified.
The OSMC Outpatient Surgery Center will not follow your Do Not Resuscitate (DNR) order or other advanced directives while you are a patient here. You will be treated if a complication occurs. OSMC Outpatient Surgery Center will respect your choice of a person to receive information and make decisions for you if you cannot.
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.