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.

Orthopedic Patients

Download Orthopedic Patient PDF Forms
Notice of Privacy Practices 7.2015

Hand Patients

If you are seeing Dr. Aaron Anderson or Dr. Rebecca Anderson, Download Hand Patient PDF Forms

Osteoporosis Patients

If you are seeing Natalie Eddy, D.N.P., Download Osteoporosis Patient PDF Forms

Pain Patients

If you are seeing Dr. Heather Nath, Dr. Anita Rao, Stephanie Andre, N.P. or Susan Fazekas, N.P., Download Pain Patient PDF Forms

Spine Patients

If you are seeing Dr. Anton Thompkins,  Dr. Nick Nenadovich or Natalie Eddy, D.N.P., Download Spine Patient PDF Forms

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

 

 

 

 

 


Mary Malick, FNP  Pain Management Specialist

Lakeshore Bone & Joint Institute is excited to welcome Mary Malick, FNP to our pain management team.

Mary is currently seeing paitnes in Chesterton, Portage, and Schererville.

Please call 219.250.5029 to schedule an appointment at a location convenient for you.