Orthopaedic Specialty Group, P.C

Orthopaedic Specialty Group, P.C.

Exceptional People. Exceptional Care.
Online Bill Pay Patient Portal

Appointment Line

(203) 337-2600

Option 2
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  •   OrthoFast Walk-In Orthopaedic Care
  • Providers
    • Doctors
    • Physician Assistants
  • Specialties
    • Sports Medicine
    • Shoulder & Elbow
    • Hand & Wrist
    • Hip and Knee
    • Foot & Ankle/Podiatry
    • Trauma Care
    • Spine
    • Neurosurgery
    • General Orthopaedics
    • Pain Management
    • Physical Medicine & Rehabilitation
    • Chiropractic
  • Surgery Center
  • Physical Therapy
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    • About Us
    • Our History
    • Pre-surgery Information
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    • Accepted Insurances
    • Patient Testimonials
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    • Locations
      • Bridgeport Office
      • Fairfield Office
      • Milford Office
      • Shelton Office
      • OrthoFast Fairfield
      • OrthoFast Milford
      • OrthoFast Monroe
      • OrthoFast Shelton
      • Fairfield Surgery Center
  • Careers

Patient Forms

The following forms are in .pdf format. For your convenience, they can be filled out online and printed. You may bring them to your next office visit.

  • Initial History Form
  • Back Pain Form
  • Dr. Kirschenbaum’s Medical Intake Form
  • Follow Up Form
  • Request for Medical Records
  • Authorization for Disclosure
  • Notice of Non-discrimination
  • MRI History Form and Consent
  • MRI Disclosure Form
  • Pre-op Assessment Intake Form
  • Request to Amendment of or Addition to Protect Health Information
  • HIPAA Notice of Privacy Practices
  • Good Faith Estimate Form 

How can we help you?
  • OrthoFast Logo
  • Patient Portal
  • Careers
  • OSG Education Foundation
  • Contact Us
  • View or Pay Your Bill Online
Get In Touch

If you would like to schedule an appointment at one of our seven locations in Southern Connecticut please give us a call at:
(203) 337-2600 (option 2).

Contact Information

Appointment Line:

(203) 337-2600 (option 2)

Prescription Line:

(203) 337-2600 (option 3)

Workers’ Compensation:

(203) 337-2600 (option 4)

OrthoFast:

(203) 382-5556

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Locations:
  • Fairfield Office
  • Milford Office
  • Shelton Office
  • OrthoFast Fairfield
  • OrthoFast Milford
  • OrthoFast Monroe
  • OrthoFast Shelton
  • Fairfield Surgical Center
  • Bridgeport Office

For Patients

General Info:
  • Pre-surgery Information
  • Postoperative Information
  • Billing/Financial Policies
  • Patient Forms
  • Accepted Insurance
  • Patient Testimonials
  • FAQ’s
  • Online Bill Pay
Resources:
  • Patient Education
  • Medical Resources
  • Education Foundation
  • Disclaimer
Our Specialties:
  • Sports Medicine
  • Shoulder & Elbow
  • Hand & Wrist
  • Hip and Knee
  • Foot & Ankle
  • Trauma Care
  • Spine
  • Neurosurgery
  • General Orthopaedics
  • Pain Management
  • Physical Medicine & Rehab
  • Chiropractic
  • Physical Therapy
  • Surgery Center
  • Contact Us
  • Notice of Non-discrimination
  • Accessibility
  • Careers

2023 Orthopaedic Specialty Group P.C. All Rights Reserved.

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