Patient forms

Online forms

GRO offers a secure online alternative to completing your forms or contacting our practice. 

• New patient form
• New patient registration form
• Pay your bill
• Patient referral
• Patient satisfaction survey
• Preauthorization to treat minors consent form
• Refill your medication
• Request an appointment
• Contact your provider
• Therapy renewal request

Download forms

The following forms are available to download as PDFs. For your convenience, these can be completed on screen and then printed - just follow the instructions on the form itself. You may bring the printed form with you to your next appointment. Alternatively you may mail it to us at the address given at the bottom of this page.

All GRO forms are saved as Adobe PDFs and can be opened, read and printed on any computer using the free Adobe Acrobat Reader.

	New patient form  You will need to bring a completed copy of this form with you to your first appointment.
	Motor vehicle accident form In order for us to submit your claim, you must report your accident to the responsible insurer and provide us the attached information.
	Workers' Compensation form  You must have a current inquiry report on file with your employer in order for us to process your claim as a Worker's Compensation claim.
	Records release form You will need to complete this form to authorize us to release your records.

Postal address

Registration Department
Greater Rochester Orthopaedics
Linden Oaks Medical Campus
30 Hagen Drive, Suite 220
Rochester, NY 14625-2658