New Patient Forms

Please click to downloads New Patient Forms below...

Information Letter

Medication History Form

Orthopaedic Patient History

Patient Information Intake Form

Preoperative Anesthesia Screening Form

Self Reporting Pain Tool

Hand & Wrist New Patient Form

Shoulder & Elbow New Patient Form

Spine New Patient Form

UC Irvine Medical Center Map

Information Letter (Spanish)

Medication History Form (Spanish)

Orthopaedic Patient History (Spanish)

Please visit our new Orthopaedic & Sports Medicine Center in Costa Mesa at:

1640 Newport Blvd., Suite 230
Costa Mesa, CA 92627
949-515-5210

www.sportsmedicine.uci.edu

Dr. Nitin Bhatia and Dr. Thay Lee were presented with the prestigious "Harold and Nancy Willingham Award for Outstanding Research Paper" at the meeting of the Western Orthopaedic Association this year. Drs. Bhatia and Lee presented their paper, entitled "Biomechanical Evaluation of Short-Segment Posterior Instrumentation with Crosslinks In An Unstable Human Burst Fracture Model".

The WOA, with more than 1,700 members, held it's 73rd annual meeting in Seattle, Washington.

Dr. Bhatia, an orthopaedic surgeon and Dr. Lee, a Ph.D Research Career Scientist/Biomedical Engineer, are on staff at University of California at Irvine.