If you already have an appointment with Access Sports Medicine & Orthopaedics, save time by printing or completing the following forms prior to your visit with us. In order to access these forms, please complete our Patient Consent for Use of Electronic Mail.
Available Patient Forms:
- Patient Registration Form
- Patient Health & History Form
- Accepted Insurances and our Payment Policy Form
- Worker’s Compensation Insurance Form
- Authorization Form for Use and Disclosure of Protected Health Information
- HIPPA Compliance (Notice of Privacy Practices) & Acknowledgement Form
- New Patient Worksheet
- Patient Survey Form
- Patient Testimonial Form
- Subscribe to our Email List Form
- Pay your bill online
- Register to Receive your Appointment Reminder via Email
- Release for Permission to Discuss Medical Records
Patients are seen by appointment and both physician and self referrals are welcomed. Access computerized appointment scheduling system enables our staff to provide patients with appointments quickly and efficiently. If you prefer to call Access Sports Medicine & Orthopaedics, please visit our Contact Us page to learn more about our five (5) locations or below for our Employee Phone & Email Directory.
Department Name/Practice |
Phone |
Name |
Email Address |
---|---|---|---|
Access Open MRI and Imaging Center | Ext. 3058 | Natalie DuBois | ndubois@accesssportsmed.com |
Access Rehabilitation | Ext. 3104 | Christie Hudson | chudson@accesssportsmed.com |
Billing Department | Ext. 3053 | Lorri Orzechowski | jmartin@accesssportsmed.com |
Clinical Supervisor | Ext. 3026 | Cheryl Tucker | ctucker@accesssportsmed.com |
Human Resources Manager | Ext. 3010 | Mary Lovely | mlovely@accesssportsmed.com |
Medical Records | Ext. 3011 | Bonnie Demaree | Medical Records Email |
Business Manager | George Devine | gdevine@accesssportsmed.com | |
Patient Finances | Ext. 3053 | Lorri Orzechowski | lorzechowski@accesssportsmed.com |
Surgical Scheduling | Ext. 3038 | Janet Woodman | jwoodman@accesssportsmed.com |
Portsmouth Office | 603.431.3575 | n/a | n/a |
Raymond Office | 603.895.6224 | n/a | n/a |
Rochester Office | 603.330.3888 | n/a | n/a |