Dr. Adam Freedhand - Hip & Knee
For Appointments Call Dr. Adam Freedhand : 713-827-9316

Patient Info

Patient Forms

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe box. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you.

New Patient History Form New Patient History Form
New Patient History Form Consent for Medical Treatment, Disclosures and Waivers
Patient Letter - Medicare and Total Joint Replacement Patient Letter - Medicare and Total Joint Replacement
Disclosure of Protected Health Information Universal Authorization for the use and Disclosure of Protected Health Information

If you cannot access the forms you can click on the icon to download the software.

Download Acrobat

Total Joint Replacement, Napa California
Total Hip Replacement, Napa California
Minimally Invasive Total Knee Replacement, Napa
Anterior Approach Total Hip Replacement
Hip Resurfacing
Computer Assisted Hip Replacement
MAKOplasty (Robotic Assisted  Knee Replacement)
Minimally Invasive  Total Knee Replacement
Arthroscopic Surgery
Multimedia Patient Education
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© Dr. Adam Freedhand Orthopedic Surgeon Hip Knee Shoulder Houston Texas