Patient Info

Patient Info

Patient Forms

In preparation for your orthopedic appointment, please print out the appropriate forms below. Please complete and bring to your first appointment.

Notice of Privacy Practices 7.2015

Pain Patients

If you are seeing Dr. Heather Nath, Dr. Anita Rao, Stephanie Andre, N.P. or Susan Fazekas, N.P.

Spine Patients

If you are seeing Dr. Anton Thompkins,  Dr. Nick Nenadovich or Natalie Eddy, D.N.P.

Consent for Minors

If the patient is under 18, please download and complete the Consent for Minors PDF Form. If someone is accompanying the minor and you wish for them to be in the exam  room with patient, download and complete the HIPAA Friends and Family PDF Form

Authorization for Release of Medical Information

Authorization for Release of Medical Information PDF Form

Patient feedback questionnaire

Helpful Websites

Keeping You In Motion

You're Invited


WHO: YOU

WHAT: An educational evening on shoulder and hip ailments presented by Dr. Anthony Levenda and Dr. Eric Szczesniak

WHERE: 601 Gateway Blvd, Chesterton 

WHEN: Tuesday, May 22 at 6:30p

 

 

 

Check out Lakeshore Bone & Joint Institute's Urgent Care located in the Portage Office at 3691 Willowcreek Rd, Portage, IN
Hours: Monday - Friday 11:00am to 7:00pm
219-921-1425

Convenient, Quaily, Affordable

 

 

 


Thank you for voting Lakeshore Bone & Joint Institute Best of the Region AGAIN!!!

"Lakeshore Bone & Joint Institute practices advanced orthopedic health care, tailored to each patient's unique needs. A culture has been fostered amongst our medical staff in which our comprehensive care is centered around the patient. This attitude, combined with our providers' skills has led to many successful outcomes for our patients. It is an honor to have earned the trust of our patients and their families, as resulted in being voted #1 as Best of the Region."
Thomas Kay, MD
President
Lakeshore Bone & Joint Institute