Make An Appointment
Call 425.339.2433 to schedule your appointment.
You have decided to make an appointment with an orthopedic specialist. Some insurance companies require a referral before you schedule an appointment. Please check with your primary care physician or your insurance carrier.
What To Bring To Your Office Visit:
- Insurance identification card.
- Payment for your insurance co-pay. This must be paid at your first visit. We accept cash, check and credit cards.
- Your referral – if required.
- Previous x-rays; MRI’s and/or reports.
- A complete list of ALL medications.
PLEASE FILL OUT, PRINT, AND BRING TO YOUR APPOINTMENT.
To be completed by all new patients.
Authorization To Leave Personal Health Information By Alternative Means.
Authorization to release health care information to a third party.
As a general rule, we require the consent of a parent or legal guardian in order to provide health care services to a minor child (someone under the age of 18).
Contact EBJ Proliance Surgeons
We have a knowledgeable staff that can help you determine if our office is contracted with your insurance carrier.
Ask The Surgeon Shows
Doctor Jeff Mason discusses nightstick fractures, a characteristic fracture when one tries to ward off an overhead blow from a nightstick.
We see stress fractures in runners for long distance running because of the miles put in. Doctor Mason explains what a stress fracture is.
Ralph Haller, MD talks about total shoulder joint replacement for patients who suffer rotator cuff disease and shoulder arthritis.
Please take the time to fill out these forms so the process of seeing you goes smoothly. We look forward to seeing you at EBJ Proliance Surgeons.