EBJ Proliance Surgeons (A.K.A Everett Bone & Joint)
Orthopedic Patient Appointment
 

Make An Appointment

Call 425.339.2433 to schedule your appointment.

You have decided to make an appointment with an orthopedic specialists. Some insurance companies require a referral before you schedule an appointment. Please check with you 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.

Patient Forms

Patient Registration

To be completed by all new patients.

Patient Contact

Authorization To Leave Personal Health Information By Alternative Means.

Authorization For Disclosure of Protected Health Information

Authorization to release health care information to a third party.

Information to Parents and Guardians of Minor Children

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

Spinal Chord Injuries
 

Spinal Cord Injuries

Spine expert John Pryor, MD talks about the spinal chord, what is it and ways that your spine can be injured.

nightstick fracture
 

Nightstick Injuries

Doctor Jeff Mason discusses nightstick fractures, a characteristic fracture when one tries to ward off an overhead blow from a nightstick.

 

Liz Franc Fracture

Liz Franc injuries can be utterly devastating. A patient with this painful injury will need to be treated and taken care of for a relatively pretty long time, possibly twelve weeks or more in a boot.

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.