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AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION (PHI) Patients PRINTED Name: Birthdate: Social Security No Address: Phone Number: () I hereby authorize THIBAUT Orthopedic AND SPORTS MEDICINE
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How to fill out Thibodaux Orthopaedic and Sports:

01
Start by visiting the Thibodaux Orthopaedic and Sports website.
02
Look for the "Patient Forms" or "New Patient" section on the website.
03
Download the necessary forms, such as health history and insurance information.
04
Fill out the forms accurately and completely. Ensure all required fields are filled in.
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Double-check your information for any mistakes or missing details.
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Once the forms are completed, save them on your device or print them out.
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Take the forms with you to your appointment at Thibodaux Orthopaedic and Sports.
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Present the filled-out forms to the receptionist or front desk staff when you arrive.
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They will likely review the forms and ask for any additional information if needed.
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After submitting the forms, you will be ready to proceed with your appointment or consultation at Thibodaux Orthopaedic and Sports.

Who needs Thibodaux Orthopaedic and Sports?

01
Athletes: Thibodaux Orthopaedic and Sports specialize in providing orthopaedic and sports medicine services, making them an ideal choice for athletes seeking diagnosis, treatment, and rehabilitation of sports-related injuries.
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Individuals with orthopaedic conditions: Thibodaux Orthopaedic and Sports offer comprehensive care for various orthopaedic conditions, including joint pain, arthritis, fractures, and musculoskeletal disorders.
03
Patients requiring orthopaedic surgeries: Thibodaux Orthopaedic and Sports have experienced surgeons who perform various orthopaedic surgeries, such as knee replacements, hip replacements, shoulder surgeries, and more.
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People in need of physical therapy: Thibodaux Orthopaedic and Sports have a team of physical therapists who provide specialized rehabilitation programs to help patients recover from surgery, injuries, or improve their mobility and performance.
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Those seeking sports performance enhancement: Thibodaux Orthopaedic and Sports offer programs and services aimed at enhancing sports performance, including injury prevention, strength training, athletic conditioning, and nutrition guidance. They cater to athletes striving to improve their skills and performance levels.
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Thibodaux Orthopaedic and Sports Medicine is a medical practice specializing in orthopedic care and sports medicine.
Patients or athletes seeking treatment or services from Thibodaux Orthopaedic and Sports Medicine may be required to fill out forms related to their medical history and insurance information.
Patients can fill out the necessary forms either in person at the practice or online through the patient portal.
The purpose of Thibodaux Orthopaedic and Sports Medicine is to provide quality orthopedic care and sports medicine services to patients and athletes.
Information such as medical history, insurance information, symptoms, and any previous treatments or surgeries may need to be reported on the forms.
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