Matthew P. Cubbage, MD - Spine Surgeon
Your Practice Online
Patient Forms Appointments  1-(888)-67-SPINE (77463) or 281-664-2105 or 2106
 
Treatments
Diagnostic Exams
Non-operative Treatment
Conditions/ Symptoms
Multimedia Patient Educaion

Patient Forms

Initial Visit Forms

If this is your first visit with Advanced Orthopaedics, you can save time in the waiting room by downloading our initial visit forms and filling them out before your appointment. Click on the appropriate form(s) below, print out the form(s) and give the completed form(s) to the receptionist at your first visit. 

Patient History - Dr. Cubbage Patient History - Dr. Cubbage
Patient History - Dr. Cubbage Patient Financial Policy Sheet

Record Release Forms

For the convenience of our current and former patients, we provide the ability to download forms you can use to request your Advanced Orthopaedics medical records and x-rays.

Simply click on Download PDF next to the form(s) you need, print and complete the form(s), and mail or fax your request to the appropriate office. Our office addresses and fax numbers are printed on the forms.

Medical Records Release Medical Records Release
X-Ray Policy Form X-Ray Policy Form

 

  Advanced Orthopaedics & Sports Medicine   AAOS - Fellow American Academy of Orthopaedic Surgeones   Diplomate of the American Board of Orthopaedic Surgery  
© Matthew P. Cubbage, MD. Spine Surgeon Back Pain Specialist Back and Neck Surgery Houston Texas