SALINA ORTHO
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        • Todd M. Herrenbruck, M.D.
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        • Bradley C. Daily, M.D.
        • Gary L. Harbin, M.D.
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patient forms

 New Patient Paperwork
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Health History Form
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Welcome Letter
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Permission to Disclose Information
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Acknowledgement of Notice of Privacy Practices
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Release of Information Form
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Outpatient Physical Therapy Intake Form
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Accident or Injury Form
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​HIPAA Privacy Practices - Effective April 14th, 2003
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Salina ortho

523 S Santa Fe Ave
Salina, KS 67401
(785) 823-2215
Fax: (785) 823-7459
Email: ContactUs@salinaortho.com
Hours:
Monday - Thursday: 8 a.m. - 5 p.m.
Friday: 8 a.m. - 1 p.m.

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  • Home
  • Our Practice
    • MISSION
    • OUR FACILITIES
    • PROVIDERS >
      • DOCTORS >
        • Todd M. Herrenbruck, M.D.
        • Michael J. Johnson, M.D.
        • Byron L. Grauerholz, M.D.
        • Bradley C. Daily, M.D.
        • Gary L. Harbin, M.D.
      • PHYSICAL THERAPISTS
      • MID-LEVEL PROVIDERS
      • PRACTICE ADMINISTRATOR
    • PRACTICE NEWS
    • Testimonials
  • SERVICES
    • GENERAL ORTHOPEDICS
    • PHYSICAL THERAPY
    • DME/BRACING
    • JOINT REPLACEMENT
    • FRACTURE CARE/CASTING
    • WORKERS COMPENSATION
    • MEDICAL/LEGAL SERVICES
    • MRI
  • SPECIALTIES
    • HAND & WRIST
    • KNEE
    • HIP
    • SHOULDER & ELBOW
    • INJECTIONS
    • SPORTS MEDICINE
    • FOOT & ANKLE
  • Patient Resources
    • Pay My Bill
    • PATIENT FORMS
    • PATIENT EDUCATION
  • LOCATIONS
  • CONTACT
  • Salina Ortho Shop