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Office Forms
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
HIPPA & One-Time Authorization
Notice of Privacy
New Patient Medication List Form
New Patient Medical History Upper Extremity
New Patient Medical History Lower Extremity
Return Patient Medical History Lower Extremity
Return Patient Medical History Upper Extremity
HIPAA Release & Authorization Agreement
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