Navigation

Forms & Policies

Interior Content

Thank you for choosing The Christ Hospital Physicians - Orthopaedics & Sports Medicine. To expedite the check-in process for our new patients we ask that you take the time to complete the following forms prior to your appointment date. In addition, please please bring to your appointment:

  • New Patient Form completed on both sides (if you have not already mailed or faxed it back in advance)
  • Insurance Card(s)
  • Photo ID
  • Co-payment (if you have one)
  • If your insurance requires a referral, that referral. Note - we must receive this prior to your appointment
  • If available, recent MRIs, (includind report) and/or X-rays if taken less than six months ago

Please locate the form(s) for the physician you will be seeing during your visit:


Sandra A. Eisele, MD

Warren G. Harding III, MD

Scott Jolson, MD     

Patrick Kirk, MD M

Edward V. A. Lim, MD 

Marc C. Schneider, MD  

Lee Shaftel, MD

Noah Shaftel, MD​