Forms

Our Orthopedic Patient Forms

Online Forms

Please click and fill out the form, sign and then save and upload file using Send Your Filled-Out Forms below!

We will contact you once received.

Send your filled-out Forms here:

Student Physical

Underage Consent

Referring Providers' & Doctors Offices:

Student Physical

Underage Consent

Referring Providers' & Doctors Offices:

Financial Information

Voytik Center for Orthopedic Care accepts a wide-range of insurances, including:

  • Blue Cross Blue Shield
  • Cigna
  • Healthspring
  • Aetna
  • Humana
  • United Health Care
  • Medicare
  • Railroad Medicare
  • Tricare
  • Worker’s Compensation
  • Attorney Assignment
  • And More

Our billing staff will submit your insurance claims, eliminating hassle for our patients. We are happy to answer your billing questions at any time. Any specific questions as to your insurance policy and/or coverage can also be directed to your insurance company’s member support line. As always, we will assist in any way we can!


Voytik Center for Orthopedic Care accepts the following forms of payment:

  • Cash
  • Check
  • Visa
  • Mastercard
  • Discover
  • American Express
  • CareCredit

CareCredit for Treatment and Care

It’s something you’ve always wanted to do, but something else was always holding you back. Well, not anymore. We accept CareCredit, a card designed specifically for your healthcare needs. CareCredit can help you move forward with getting the procedure you’ve always wanted. With convenient monthly payments, and variety of special financing promotions on purchases of $200 or more*, you can get your procedure sooner.

Apply Now

Your Healthcare Credit Card

CareCredit is the credit card exclusively for healthcare services. With special financing on purchases of $200 or more, you can use your card over and over for follow-up appointments or different procedures.* This means you don’t have to put your health on hold until you save up enough money. We give you the power to decide when it’s the right time for you.

With CareCredit, you can:

  • Get the treatment or procedure you want, when you want it
  • Enjoy special financing options on purchases of $200 or more*
  • Use your card as over 175,000 practices nationwide

Apply now or learn more about CareCredit, or please contact us.

*Subject to credit approval. Minimum monthly payments required. Visit www.carecredit.com for details.

Contact us if you have any questions.

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