Forms

Health Information (Medical Records) Forms:

Health Information Medical Release Form - Download and print this form to request copies of your medical records and X-rays.


First Appointment Forms:

Health History Form - Download, print and complete this form. You will need to bring this completed form with you to your first appointment.


Brace Place Forms:

Brace Place Form: The Therapeutic Shoe Bill - Download and print this form to give to your primary care physician who's managing your diabetic condition.

Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Supplier Standards Form


Privacy Practice Notice:

Notice of Privacy Practices - Download this document to review SCO's privacy practices.