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PHYSICIAN FINANCIAL ASSISTANCE APPLICATION Aristate Orthopedic Surgeons, Inc. 225 Cross Lake Drive Evansville IN 47715 (812) 4771558Please complete this form accurately and completely. (Please print)
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01
Gather all necessary information such as personal details, insurance information, medical history, and current symptoms.
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Contact the tri-state orthopedic surgeons office to schedule an appointment.
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Fill out the patient registration forms provided by the office, including any medical release forms.
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Be prepared to provide identification and insurance card at the time of the appointment.
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During the appointment, discuss your symptoms and medical history with the orthopedic surgeon, and follow any treatment recommendations given.

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Individuals experiencing musculoskeletal issues such as joint pain, fractures, sprains, or sports injuries.
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Patients in need of orthopedic surgery or specialized orthopedic care.
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Athletes looking for treatment and rehabilitation for sports-related injuries.
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Individuals seeking second opinions on orthopedic conditions or treatment plans.
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Tri-state orthopedic surgeons is a medical practice specializing in orthopedic care.
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