Patient Forms
Please be aware, all the forms are transitioning to electronically. You may be asked to fill out an iPad when arriving so please arrive early to expedite your visit.
- New Patient Information Form (required for all new patients)
- Demographic Form (required for all new patients to Michigan Orthopedic Institute)
- Pain Form (for each patient visit)
- Neck Pain Disability Index Questionnaire (required at each visit if you had neck surgery with dr park)
- Oswestry Disability Questionnaire (required at each visit if you had back surgery with dr park)
- SF-12 Health Survey
- Swallowing questionnaire (required if you had anterior neck surgery with dr park)
You will need the Adobe Reader to view and print these documents.