Forms



 

In an effort to expand our customer service, we have provided the following forms which are available to download for your convenience.  Please download the forms and bring them with you to your scheduled appointment.

PLEASE NOTE: All injured workers filing for workers' compensation must complete the Workers' Compensation Forms ONLY.  Injured workers are NOT required to complete the New Patient Forms.


New Patient Forms


General Orthopaedics

Spine

Physical Medicine and Rehabilitation

Chinese Medicine/Acupuncture

 

Workers' Compensation Forms

 General Orthopaedics

Spine

Physical Medicine and Rehabilitation

  • Dr. Arthur Lee
  • Dr. Nayna Patel

Chinese Medicine/Acupuncture

 
Medical Records

If you would like to request a copy of your medical records or need a copy sent to a referring physician, please complete the form below and return it to our office.  Please give us as much notice as possible when requesting records, as delays can occur when fulfilling record requests.  Also be aware that fees may apply for duplication of records.

Satisfaction Surveys

We are committed to improving our standards of quality care and customer service on a daily basis and realize your feedback is vital to success and continued growth of our practice. Completed surveys can be either mailed to: CORE Orthopaedic Medical Center, PC; Attn: Customer Service; 332 Santa Fe Drive, Suite 110; Encinitas, CA 92024; or faxed confidentially to (760) 632.4256.

Patient Surveys 

Workers' Compensation Representatives Surveys

Referring Physician Surveys

 
   
 
 
   
 
CORE Orthopaedic Medical Center 332 Santa Fe Drive Suite 110   Encinitas CA (North San Diego) 92024 877-777-2673 760-943-6700
A medical center that offers specialty trained orthopedic surgeons, doctors, occupational therapy, rehabilitation services and accupuncture in San Diego, California.