Patient Forms

Patient information and consent forms are a necessary part of receiving appropriate medical care. In order to save you time at your visit, please feel free to print off the consent forms below and read and sign them before arriving for your appointment. After completing them you can either bring them with you to the visit or fax them to us: (972) 438 2077

You will also need to complete our Patient Registration form, Patient Health History forms (Part 1 of 2 and Part 2 of 2), and our Review of Systems form. This can either be done at the time of your visit or beforehand at our Secure Patient Portal. In order to complete these forms online you will need to create an account with our Secure Patient Portal.

You’ll find these four forms on the “Health Forms” page within the portal.

Consent Forms

Additional Forms (Print only as needed)

To read the IOSM Notice of Privacy Practices

Consent to Medical Treatment of a Minor

Release of Medical Records

MRI Testing (only if having your MRI at IOSM)

Para formas en espanol

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  •  Stanford University - Byung J. Lee, M.D - Orthopedic Surgeon
  • Stanford Medicine - Byung J. Lee, M.D - Orthopedic Surgeon
  • Brown University - Byung J. Lee, M.D - Orthopedic Surgeon
  • The University of Chicago Medical Center - Byung J. Lee, M.D - Orthopedic Surgeon
  • The  American Academy of Orthopaedic Surgeons - Byung J. Lee, M.D - Orthopedic Surgeon
  • American Society for Surgery of the Hand - Byung J. Lee, M.D - Orthopedic Surgeon