Thomas W. Peatman, MD

Office Information: Medical Forms

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate forms marked with a * by clicking on the name of the form. If you cannot access the form, please click on the Adobe box. This will allow you to download this software, providing access to the forms. Please bring the completed form/s with you to your scheduled visit. This will help expedite the registration process. Thank you.

*Patient Registration Form
*Health Questionnaire
*Consent - Use and Disclosure of Health Information for Treatment, Payment or Healthcare Operations
Consentimiento - Para el Uso y Divulgacion de la informacion de la Salud Para Tratamiento, Pagos, o Intervenciones, Medicas
Consent - Total Hip Replacement
Consent - Total Knee Replacement
Privacy Policy
Download AcrobatIf you cannot access the forms you can click on the icon to download the software.