Patient Resources

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Thank you for choosing Spencer Orthopedic for your sports medicine and orthopedic care. You may download, print, and complete our required patient forms to save time on your scheduled appointment date.

Please remember to bring the following information along with your completed forms:

  • Insurance card
  • Photo ID
  • Referrals (If required by your insurance)
  • Co-payments (If required by your insurance)
  • Please use the links provided to download and print our patient forms.
General Health Questionnaire
Consent to the use of health information for treatment, payment of healthcare operations
Payment Policy
Request for release of medical records
Notice of privacy practices
Financial Policies
Communication Consent

New Patient Forms

The forms below are in pdf format. Simply click to open and save the form. It is designed to be filled out and then immediately printed, so that you can bring the completed form with you for your Dr. visit. However, please note that the information cannot be saved once typed in.

  • Patient Intake Form
  • Patient Intake Form
  • Patient Intake Form
  • General Health Questionnaire

Insurance Providers

At Spencer Orthopedics, we accept most major insurance plans. Here are some of the plans we accept. Please contact our office if you do not see your insurance provider.

Contact Info

To book an appointment or for any questions, please call us at (760) 797-7540. Alternatively, you can schedule an appointment online by filling out the form below. We look forward to hearing from you!
Palm Desert Office
36953 Cook St, #101
Palm Desert, CA 92211
La Quinta Office
47020 Washington Street
La Quinta, CA 92253
Call Us
(760) 797-7540
Fax
(760) 797-7542
Email Us
[email protected]

Join Our Community

Palm Desert Office

36953 Cook St, #101
Palm Desert, CA 92211

La Quinta Office

47020 Washington Street
La Quinta, CA 92253

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