

Dr. Kornelis Poelstra
Orthopaedic and Neurological
Spine Surgeon
Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe icon. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you.
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If you have medical forms (DMV Handicapped parking permits, Family Medical Leave forms, etc.) that need to be filled out by your doctor or one of the office staff members. Costs associated with these forms are a flat $5.00 fee per page, not to exceed $20.00 per request. Please anticipate that it will take us 7-10 business days to complete your request.