Shasta Orthopaedics Registration Forms
For your convenience, you can download the following forms. Prior to your appointment the Patient Registration and Patient History forms must be completed and signed and the Notice of Privacy Practices must be read and signed.
Forms
- Online Patient Registration Form (Form includes Common Interest Disclosure and Financial Policies information.) »
- Patient Registration Form (Form includes Common Interest Disclosure and Financial Policies information.) – PDF file [192K] »
- Patient History Form – PDF file [213K] »
- Notice of Privacy Practices – PDF file [80K] »
Once you have completed the forms:
Fax:
530-242-9460
Mail:
Shasta Orthopaedics
1255 Liberty Street
Redding, CA 96001
You should receive a call within 1 business day of receipt confirming we have received your form. If you have any questions, please call 530-246-2467