The doctors and staff at Kruger Ortho are dedicated to giving you the highest
quality medical care and the best possible personal attention. Please take a
moment to complete the required forms before your appointment to help us to serve you better!
Click on a form below to download it (Adobe Reader required). Please complete and print these forms and bring them with you on your visit to the office.
New patients:
Health status questionnaire (.pdf, 165 kb)
Additional injury/condition questionnaire (.pdf, 42 kb)
Existing patients:
Follow up - medical questionnaire (.pdf, 47 kb)
Follow up - additional injury/condition (.pdf, 47 kb)
Medical records release:
The following form is needed only when another doctor is requesting records from Kruger Ortho. It is not necessary to fill out before an office visit with us.
Authorization for release of medical records (.pdf, 34 kb)
Click on a form below to download it (Adobe Reader required). Please complete and print these forms and bring them with you on your visit to the office.
New patients:
Health status questionnaire (.pdf, 165 kb)
Additional injury/condition questionnaire (.pdf, 42 kb)
Existing patients:
Follow up - medical questionnaire (.pdf, 47 kb)
Follow up - additional injury/condition (.pdf, 47 kb)
Medical records release:
The following form is needed only when another doctor is requesting records from Kruger Ortho. It is not necessary to fill out before an office visit with us.
Authorization for release of medical records (.pdf, 34 kb)
Our physicians
It is essential to us that you and your familiy develop partnerships based on trust with our physicians.Find out more about our physicians