Office Forms

Patient Forms

To save time on the day of your appointment, please fill out these forms and bring them with you. If you have any questions, please fill out as much as you can and our staff will be happy to assist you when you come to the office.


Prescott Office New Patient Cover Letter

HIPAA Release & Authorization Agreement

Notice of Privacy

New Patient Medication List Form

Patient Medical History – Upper Extremity

Patient Medical History – Lower Extremity

Living Will Form

Self-Pay Notice

Patient Education Material

The following files contain information about surgery and post-operative instructions to aide and educate you about recovery. Please feel free to download these documents to use as a reference. Please do not hesitate to ask any questions that may arise.

For Dr. Kaper’s patients:

TOTAL KNEE REPLACEMENT Patient Guide

TOTAL HIP REPLACEMENT Patient Guide

PARTIAL KNEE REPLACEMENT Patient Guide

Postoperative Icing Instructions Dr. Kaper

Discharge Instructions following Total Joint Replacement Surgery Dr. Kaper

Post-op Discharge Instructions following Joint Replacement @ HonorHealth – Scottsdale Thompson Peak

Post-op Instructions following Partial Knee Replacement Surgery Dr. Kaper

Postop Instructions Shoulder Arthroscopy Dr. Kaper

Postop Instructions Knee Arthroscopy Dr. Kaper

HIBICLENS Scrub Instructions

HonorHealth Thompson Peak Campus Map

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