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Patient Forms
At Fort Worth Orthopedics, we understand you want to have your office visit run as smoothly as possible. To help facilitate this process, we have provided our patient forms online for you to download and complete before your visit.
Simply click on the links below to download. Print, complete, and bring the forms to your appointment. In order to protect your privacy, please do not e-mail forms.
- Patient Registration Form: English | Español
- Patient Release of Information Form: English | Español
- Out of Town Patients
- Accomodations and Transportation Info
Additional Forms
- Medical History Form (Elizabeth Batterton, M.D. and Steven B. Singleton, M.D.)
- New Patient Registration Form - Additional (James M. Bothwell, M.D. )
- New Patient Questionnaire - (Carson Fairbanks, M.D., William Mitchell, M.D., Mark Wylie, M.D.)
- Disclosure Regarding Research Programs (Steven B. Singleton, M.D.)
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Post-Operative Instructions
Dr. Bothwell
- ACL Reconstruction: English
- ACL Reconstruction with Meniscus Repair: English | Espanol
- Arthroscopic Shoulder Instability: English
- Arthroscopic Shoulder Rotator Cuff: English | Espanol
- Arthroscopic Subacromial Decompression, Distal Clavicle Excision, and Biceps Tenodesis: English | Espanol
- Elbow Surgery: English | Espanol
- Foot and Ankle Surgery: English
- Knee Arthroscopy: English
- Meniscus Surgery: English | Espanol
- Partial Menisectomy: English
- Patellar Instability Surgery: English | Espanol
Dr. Singleton
- General Surgery: English | Spanish
- Elbow Surgery: English | Spanish
- Foot/Ankle Surgery: English | Spanish
- Knee Surgery: English | Spanish
- Shoulder Surgery: English | Spanish
- The S.I.M.P.L.E. Way to Speed up Your Recovery: English
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Surgery Instructions
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Exercise and Return to Play Protocols
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Insurance Information
We believe in making it easy for our patients to focus on their treatment and regaining good health. Fort Worth Orthopedics accepts a wide range of insurance plans and various forms of payment, and will verify benefits prior to your appointment. Please call us at 817-433-3450 if you have any questions.
Insurances Accepted at Fort Worth Orthopedics
Advantage PPO (Advantra)
Aetna HMO
Aetna Medicaid
Aetna POS
Aetna PPO
Amerigroup Medicaid HMO
Amerigroup Medicaid STAR Plus
BlueCross BlueShield HMO
BlueCross BlueShield POS
BlueCross BlueShield PPO
BlueCross BlueShield Traditional
Care N'Care Medicare Advantage PPO
CHAMPUS
CHAMPVA
Choice Care (Humana) Medicare Advantage PPO
ChoiceCare (Humana) EPO
ChoiceCare (Humana) PPO
Cigna HMO
Cigna Open Access OAP
Cigna PPO
Cigna West (Great-West) HMO
Cigna West (Great-West) ONEPlan OAP
Cigna West (Great-West) PPOCook Children's (CHIP) Medicaid HMO
Cook Children's (STAR) Medicaid HMO
Coventry/First Health Medicare
Coventry/First Health PPO
Exchange Product - BCBS PPO BlueChoice
Galaxy Health Network PPO
HealthSmart PPO
HealthSpring Life and Health (Medicare Advantage) PPO
Medicaid
Medicaid - Pediatric
Medicare
MultiPlan (Beech Street) PPO
North Texas Specialty Physicians
Private Healthcare Systems (PHCS) PPO
TRICARE (Humana Military Health Standard)
TRICARE Prime
UnitedHealthcare HMO
UnitedHealthcare POS
UnitedHealthcare PPO
USA Managed Care PPO -
Pay a Bill
In order to use the payment portal to pay your bill, please have your statement and billing information readily accessible. For question or payments by phone, call us at 1-855-602-5273.
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In the News
At Fort Worth Orthopedics, we are committed to delivering the highest quality care possible while ensuring you are comfortable with your course of treatment. In addition to providing compassionate, personalized care, our goal is to offer resources and education to help improve your musculoskeletal health.
Resources & Information
Select a resource to learn more and get started.
Educational Videos
Learn more about your condition and specific treatment options from the video library on Your Practice Online.