University Orthopedics Brochure and Forms

My CV
My Group's Brochure
Assignment of Benefits-Fishkill.doc
(113K)
Please print out and bring in with you.
Assignment of Benefits-Hawthorne.doc
(112K)
Please print out and bring in with you.
Directions to 19 Bradhurst.doc
(115K)
Email permission.pdf
(24K)
Please fill this out and fax it to me at 914-789-2743 to allow me to communicate with you via email.
New Knee Patient Intake Form.doc
(154K)
Please fill out and bring with you to the office if your visit pertains to your knee.
New Patient General Problem Intake Form.doc
(153K)
Please fill this out and bring it with you to your initial visit.
New Shoulder Patient Intake From.doc
(152K)
Please fill out and bring with you to the office if your visit pertains to your shoulder

Copyright © 2007-2008 Howard J Luks, MD. All rights reserved. Medicine cannot be practiced via the internet. The information on this site should not be considered to be a personal treatment recommendation; this site should be used for informational purposes only. Nothing can replace the relationship you have with a physician.