PATIENT FORMS
We’ve made it our goal to streamline the check-in process so you won’t have to come in extra
early to complete paperwork. Simply, click one of the options below to download your patient
packet. Once completed, you may either: 1) print and bring the forms with you to your appointment, 2) click the button below to upload and submit them, or 3) email them securely to us at:
PATIENT FORMS
I would like to print my paperwork and
complete it by hand.
EXISTING PATIENT,
NEW INJURY
I would like to print my paperwork and
complete it by hand.
To properly complete these forms, Adobe Acrobat Reader must be used. You may download free of charge.
To properly complete these forms, Adobe Acrobat Reader must be used. You may download free of charge.
HOW CAN WE HELP?
Welcome to Landsberg Orthopaedics. We value your time. That's why we offer secure
and convenient access to our patient portal and online bill pay, as well as
pre-registration access to patient forms, policies and more.
Would you like to pay your bill online?
PATIENT PORTAL
The Landsberg Orthopaedics patient portal is an online tool to help you keep better track of your healthcare. Through the portal, you can conveniently and securely:
- Communicate with your provider
- Request prescription refills
- Review office visit notes
- Update personal, medical, and insurance information.
INSURANCE AND PAYMENT INFORMATION
We accept the following insurance types:
- Aetna - all plans
- American General
- Anthem Blue Cross Option 2000 - Kentucky (not HMO)
- Blue Cross/Blue Shield - Blue Classic
- Blue Preferred, Blue Select & HMO Blue
- Cigna - PPO & HMO
- Carechoice
- Champus
- First Health
- Guardian
- Healthsprings Healthwise
- Humana/Employer's Health
- Kemper
- Liberty Mutual
- MetLife
- Metrahealth
- Medicare
- One Health Plan
- Private Healthcare Systems
- Provident - PPO only
- Travelers United Healthcare
- USA Network
- United Payors & United Providers
- Signature Health Alliance
Please note, insurance plans, qualifications, and coverage change often. If your insurance type is not included on the above list, please call our office at 615.264.4785 to confirm your visit coverage.
We accept the following forms of payment:
- Mastercard
- Visa
- Cash
- Check
