Patient Forms

Use this page to download HIP FOLLOW-UP forms. All files are in Adobe Acrobat format. If you do not have the Adobe Acrobat reader, you can download it here.

Please contact Lee Webb N.P. with any follow-up questions:

Lee Webb, N.P.    E-mail: LeeW@midlandsortho.com
                             Cell phone: (803) 331-6894

If you don’t have any questions, please follow the protocol and fill out each form below, then FED EX the packet to:

Dr. Thomas P. Gross
c/o Keri Duval
Midlands Orthopaedics
1910 Blanding St.
Columbia, SC  29201

HIP FOLLOW-UP FORMS:

  1. Follow up hip questions
  2. Mission statement and disclosure
  3. Physical exam form
  4. Physical therapy evaluation letter
  5. Physical therapy evaluation request
  6. Hip XR request
  7. Phase II hip exercises

 

 
 

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