Forms & Payment

Accepts new patients

Medicare Medicaid Workers' compensation Other
Yes Yes Yes Yes

Medical insurance plans and payment options

We accept all patients, however; you will need to check with your insurance provider to confirm that we are on their plan. We are affiliated with nearly all local insurance plans.

Please discuss payment options with our billing staff.

Office information from Robin Sann Gossum, MD

A. New Patient Information brochure
New patient information brochure including: Your first visit to OANNM; Driving directions and map; and the OANNM financial policy.

B. Medical History, page 1
Please complete this form prior to coming to the office.

C. Medical History, page 2
Please complete this form prior to coming to the office.

D. Patient Information Form
Patient Information form provides the practice with demographic information about the patient and the responsible part (if someone other than the patient).

E. HIPAA Policy Part 1
OANNM HIPAA Policy

F. HIPAA Policy Part 2
OANNM HIPAA Policy

G. Patient Rights and Responsibilities
The expectations of OANNM in regards to Patient Rights and Responsibilities.

Contact Information

Orthopaedic Associates of Northern New Mexico, P.C. 2055 South Pacheco, Suite 500 Santa Fe, NM 87505 View map Phone (505) 424-0200 Fax (505) 424-6608

This website is provided by the American Academy of Orthopaedic Surgeons as a service to its members. All materials on this Web site have been created, developed or assembled by the member physician, who is solely responsible for its content and any permissions necessary to properly place the materials on this website. The AAOS does not review this information nor does it exercise editorial control over it and consequently AAOS is not liable for any damage that may be caused by this information.