University Hip and Knee Orthopaedic Specialists LLC

Donald R Polakoff, MD

Fellow of the American Academy of Orthopaedic Surgeons

Insurance & patient registration form

Accepts new patients

Medicare	Medicaid	Workers' compensation	Other
		NA	NA

Medical insurance participation

We participate with:

Aetna, Amerihealth, Cigna, Multiplan/PHCS, Qualcare, United Healthcare

Additional participation under review, so please call for updated status.

In the event that we do not participate with your health plan, we will assist with use of your "out-of-network" benefits.

Printable patient registration form

HIPPA Practices

HIPPA Receipt

Patient medical history form page 2

Patient medical history form page1

Patient Registration form

Donald R Polakoff, MD University Hip and Knee Orthopaedic Specialists LLC

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