Samotin Orthopaedics
Patient Forms
Download Patient Forms Below
Please printout and complete the appropriate forms:
Medical Information Sheet – Click here
New Patient Forms – Click here
Credit Card Financial Policy – Click here
Release of Records – Click here
Privacy Notice – Click here

What to Expect
What should I bring to my appointment?
- Your health insurance card(s)
- A referral from your primary care physician if applicable
- Your co-payment
- Credit card/debit card
- A list of your current medications
- A copy of your x-rays, MRI, blood tests or any other diagnostic testing you have completed regarding the condition for which you will be treated.
- A pair of shorts if you will be evaluated for a knee or hip condition
- Our female patients are encouraged to bring a tank top if you are going to be evaluated for a shoulder injury/condition.
- If you are a minor (under the age of 18) you must be accompanied bya parent or guardian
- What can I expect during my exam?
- You will be escorted to an exam room by one of our medical professionals
- Your medical history will be reviewed
- Depending on the condition for which you will be treated, you may be required to have x-rays taken within our office
- You will be examined by a physician or physician assistant where your course of treatment will be discussed.
Dr. Samotin on Post-Op Recovery and Pain Medication
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It’s Hammer(toe) Time: Do I Have a Hammertoe or Claw Toe? What Should I Do?
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Ice or Heat? Heat or Ice? Either or? Neither Nor?
As a practicing orthopedic surgeon with over 20 years of experience, invariably, if I tell someone who asks this question that they should use ice, they then tell me a long story about why their relatives going back 10 generations always use heat. On the other hand,...