Patient Forms UC Irvine Orthopaedic Surgery, Orthopedic Surgery, Residency Program,Southern California, Orange County, Newport Beach, California

New Patient Forms

Please click to downloads New Patient Forms below...

For All Patients

A. Information Letter
B. Medication History Form
C. Patient Information Intake Form
D. Self Reporting Pain Tool
E. UC Irvine Medical Center Map

Preoperative Patients

F. Preoperative Anesthesia Screening Form

Orthopaedic Specialty Form

G. Orthopaedic Patient History
Dr. Green
Dr. Green
Dr. Hoang
Dr. Khoury
Dr. Ross
Dr. Shepard
Dr. Tynan
Dr. Zamorano
The Lower Extremity Clinic

H. Spine New Patient Form
Dr. Bederman
Dr. Bhatia
Dr. Kiester
Dr. Rosen
The Spine Clinic

I. Hand & Wrist New Patient Form
Dr. Jones
Dr. Rafijah
The Upper Extremity Clinic (hand and wrist)

J. Shoulder & Elbow New Patient Form
Dr. Gupta
The Upper Extremity Clinic (shoulder and elbow)

Information Letter (Spanish)

Medication History Form (Spanish)

Orthopaedic Patient History (Spanish)

Does a Critical Rotator Cuff Tear Stage Exist?: A Biomechanical Study of Rotator Cuff Tear Progression in Human Cadaver Shoulders. Read Article...

Joo Han Oh, MD, PhD; Bong Jae Jun, PhD; Michelle H. McGarry, MS; Thay Q. Lee, PhD

Dr. Ranjan Gupta recently served as an Instructor for the Comprehensive Review Course in Hand and Upper Extremity Surgery in Chicago this July 15-17, 2011. He provided information to practicing hand surgeons about nerve injuries and their reconstruction as they prepared to take their certifying examinations. In addition, he taught at the AAOS/ASES Advanced Surgical Management of Complex Shoulder Instability at the Orthopaedic Learning Center in Rosemont, Illinois July 22-22, 2011 along with other shoulder experts. He demonstrated new surgical techniques to practicing orthopaedic surgeons as they learned to explore evolving treatment options for complex shoulder instability.

Please visit our new Orthopaedic & Sports Medicine Center in
Costa Mesa at:

1640 Newport Blvd.,
Suite 230
Costa Mesa, CA 92627
949-515-5210

UC Irvine Orthopaedic Surgery provides medical care in and around Orange County: Aliso Viejo, Anaheim, Brea, Buena Park, Costa Mesa, Cypress, Dana Point, Fountain Valley, Fullerton, Garden Grove, Huntington Beach, Irvine, Laguna Beach, Laguna Hills, Laguna Niguel, Laguna Woods, La Habra, Lake Forest, La Palma, Los Alamitos, Mission Viejo, Newport Beach, Orange, Placentia, Rancho Santa Margarita, San Clemente, San Juan Capistrano, Santa Ana, Seal Beach, Stanton, Tustin, Villa Park, Westminster, Yorba Linda.