Forms & Payment

Accepts new patients

Medicare Medicaid Workers' compensation Other
Yes Yes Yes Yes

Medical insurance plans and payment options

We accept most insurance plans. Please call our office if you have questions

For your required co-pays we accept cash, debit cards, or credit cards for your convenience. Payment is required at the time of service by your insurance company.

FORMS. You may fax the completed forms to 502-581-1274 or email them to Please be sure to bring the completed forms with you even if you did send them.

HIPAA Releases
If you need us to release protected health information or you need protected health information released to us, please complete the appropriate form.

Notice of Privacy Policy
This form is effective 1/1/2013

A New Patient Welcome Packet
If you are new to our practice, or it has been over 3 years since you were last seen, please complete these forms

B Returning With A New Problem Packet
If you have a new problem and it has been less than three years since you were last seen by our practice, please complete these forms

C New Patient Work Comp Welcome Packet
If you were injured while you were working, please complete these forms.

D Welcome Packet for Liability Case Patients
I you had an injury that resulted in someone else being responsible for your bills, please complete these forms.

E Independent Medical Evaluation Welcome Packet
If you were sent for an Independent Medical Evaluation, please complete these forms

*** Appointment Hot Line *** 502-562-0346 or 561-4200

Orthopaedic Associates 3605 Northgate Circle Suite 102 New Albany, IN USA 47150 View map Phone 502 585 4376 Fax 502 581 1274

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.