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First Visit Guide

What To Bring To Your Appointment

As a general rule of thumb, the more information you bring to your appointment the better it will help us give you a diagnosis, prognosis and the best recommendations available to you.

Items to Bring:

  • Photo ID
  • Insurance card
  • Primary care referral (if required by your insurance)
  • Co-pay
  • Medical and surgical records
  • List of medications and herbal supplements
  • List of allergies and reactions to medications
  • X-rays, MRI, CT, & Arthrogram films and reports
  • Workers’ Compensation information
  • Any questions or concerns you have about your current condition

Patient Intake Form

Photo ID

  • Bring a photo ID (driver’s license, passport, state-issued ID card, etc.).

Insurance Card

  • Bring your insurance card. We will need to make a copy of the card for your records.

Primary care referral (if necessary)

  • If required by your insurance carrier, obtain a referral from your primary care physician and bring it with you.


  • Your insurance may require a co-pay that must be paid at the time of your visit. Please bring some form of payment. We accept cash, check, MasterCard, Visa, and Discover.

Medical and Surgical Records

  • Please obtain and bring with you a copy of your medical and surgical records.
  • List of medications and herbal supplements.
  • List of allergies and any reactions you have to medications

X-ray, MRI, CT, & Arthrogram Films and Reports

  • You will need to obtain any recent x-rays, MRIs, CTs, and Arthrogram films and reports that relate to the problem that will be evaluated at your visit. Please bring these films and reports yourself, as it is often difficult for others to get us the x-rays and reports before your appointment.
  • Some offices or hospitals may give you a disc instead of printed films. Bringing this disc is fine because we are able to view your films and reports in our computer system.

Workers’ Compensation

  • If this is a work-related injury, please bring a copy of the first report of your injury including your claim number.
  • Bring any x-rays or reports that relate to this injury.
  • If, for any reason, workers’ compensation contests or denies your claim we can submit the charges to your health insurance only if you have followed their rules and have obtained a referral, if required.
  • If workers’ compensation denies your claim and you have not provided us with your health insurance information or followed the guidelines of your policy, you are responsible for all charges.

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Romano Orthopaedic Center

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