The Shoulder and Elbow Restoration Center
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New Patient Registration

As a new patient, you will need to complete the necessary documentation before being seen by Dr. Cole. For your convenience, we have placed these forms within this section of our Web site. Please print and complete each of these forms and bring them to your appointment with Dr. Cole.

Please be assured that this information is for our office use only and is kept strictly confidential.

PDF Download General Intake Survey
PDF Download Patient Registration Form
PDF Download Office and Financial Policies
PDF Download Credit Card Consent Form
PDF Download Authorization for Use and Disclosure of Protected Health Information

If your appointment is due to a problem of the shoulder or elbow, you will also need to complete a questionnaire about how the problem began, any pain you are having, and activities that are now difficult to perform. Please select the appropriate form from the list below, print and complete it and bring it to your appointment with Dr. Cole.

It is important that all questions are answered completely. The information you provide also helps us to track your progress after treatment.

PDF Download Elbow intake survey
PDF Download Shoulder intake survey
PDF Download New Patient Socrates Packet


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Brian J. Cole, MD, MBA


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