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.
Disability Paperwork Authorization
Disability Paperwork Authorization - Download and print this form to release your disability information. Complete and fax the printed Disability Paperwork Authorization, along with your additional disability paperwork, to 651-439-0232.
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. Dr. Steven Meletiou's, Dr. Ryan Karlstad's, Dr. Nicholas Meyer's, and Dr. Timothy Panek's patients need not fill out this form. Their patients will be given a different form to complete at their 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.
