Patient Registration

Thank you for selecting Columbia Orthopaedic Group in Columbia, Missouri for your orthopedic care. To schedule an appointment, please call us at (573) 443-2402 or use our online appointment request form.

If you are a new patient or seeing a physician for the first time, you can expedite your visit by pre-registering online using the secure interactive forms below. You will need to complete the New Patient Registration form and the Health History form that pertains to the reason you are being seen by one of our physicians (Neck & Cervical Spine problem, Lower Back & Spine problem, or All Joints/Sports Medicine, which would encompass any other issues not related to the back).

If you do not want to pre-register online, you may download and print the forms, fill them out and bring them with you to your first visit. If you are unable to complete the forms prior to your appointment, please arrive approximately 15 minutes ahead of your scheduled appointment time to complete this information.

Downloadable Registration and Health History Forms:

• Health History Form for Neck & Cervical Spine
  Download and print the form above if your physician is in the list below:
  
  

  Dr. Gaines Dr. Highland Dr. Koreckij

  Dr. Meyer Dr. Miles Dr. Parker

   
• Health History Form for Lower Back & Spine
  Download and print the form above if your physician is in the list below:
  
  

  Dr. Abernathie Dr. Clark Dr. Gaines Dr. Highland Dr. Koreckij

  Dr. Meyer Dr. Miles Dr. Parker Dr. Trecha

   
• Health History Form for All Joints and/or Sports Medicine
  Download and print the form above if your physician is in the list below:
  
  

  Dr. Adams Dr. Anz Dr. Bormann Dr. Buchert Dr. Carter Dr. Crislip Dr. Eckenrode Dr. Farmer Dr. Havey Dr. Hockman

  Dr. Holt Dr. Kleiber Dr. Newton Dr. Oliver Dr. Quinn Dr. Russell Dr. Schutz Dr. Smith Dr. Tarbox Dr. Thornburg

   

Other Downloadable Forms:

• Medical Records Release Form
• Patient Payment Policy
• Notice of Privacy Practices
• Patient Satisfaction Survey
• Notice and Agreement
• MRI Notice and Agreement

Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.