Abilene Orthopedics maintains the right to use this form to schedule appointments. Abilene Orthopedics protects patient confidentiality as well as any personal or health related information unless express consent or legal obligation is produced. Confidential information includes diagnosis, treatment, medication, personal information, symptoms, and care plans. All information given is done freely and will full knowledge and consent of the patient or legal representative.
This form is not to be used for solicitation of any services. Any contact made for solicitation is in violation of these terms.