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Before Your Visit

NEW PATIENTS
Thank you for choosing Dr. Ralph Rizk for your orthopedic needs.

We look forward to having you join our host of satisfied patients. Once you have made your initial appointment, we recommend that you complete the patient forms that we will send vial email. The file contains a new patient registration form, health history form, privacy policy and others. Please be sure to complete all pages prior to your arrival and bring them with you to your visit. This will help speed up the new patient registration process and get you in to see the doctor faster.

Be sure to bring your insurance card plus any x-rays, MRIs, or other test results that may have been ordered or performed by another physician.
 
 
CURRENT PATIENTS WHO HAVE NOT YET BEEN SEEN AT THE 2 SHIRCLIFF WAY LOCATION:
Thank you for continuing your orthopedic care with Dr. Rizk.

If you have not already done so, we will be happy to assist you in obtaining your records from the old practice, Southeast Orthopedic Specialists. Please kindly download the records request form located here and bring to Clinic at your next visit or fax to 904-634-0203.

Even though you are a current patient, you will also need to complete new patient paperwork for your first visit at the new location.
 

FaQs

Your questions, answered.

  • If you are a patient of the Heekin Clinic, you will need to complete a records request form found here so that we may obtain your records. If you are a patient of any other clinic you may request a release form by calling their office.

  • We have release forms in our office; otherwise you can fax a request that includes your personal information as well as information on where records are to be sent.

  • Yes, we are on call 24 hours a day, 7 days a week. Call our main number, 904-731-3131 for assistance. Please note that prescriptions are refilled during office hours only.

  • We generally do not require a physician referral to our office for the purpose of scheduling an appointment with one of our physicians, unless this is a requirement by your insurance carrier.

  • While X-rays are generally not required, all MRIs or other image studies on CD or film that are pertinent to the part of body being examined need to be brought in with the patient.

  • With a 48-hour notice, you may call your doctor’s assistant or you may call your pharmacy and they will request a refill from your doctor. Please note that Schedule II drugs cannot be refilled by phone and require a paper prescription.

  • Yes and Yes. Please park on the 6th floor of the DePaul garage and call the office in advance if you require assistance getting into the building.

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