Patient Information & Forms

This section provides information and forms that will assist you in preparing for your appointment or surgery, allow you to request a prescription refill or request for medical records/x-rays, review pre- and post-care instruction sheets, and access to other patient education materials your physician may provide as part of your treatment.

Concord Orthopaedics staff is available by phone Monday through Friday, 8AM to 5PM. To make an appointment, please call 1.603.224.3368 or 1.800.660.2672 and ask to speak to one of our patient care coordinators.

We have a physician on-call 24 hours a day for emergency care. If our office is closed, our answering service will refer you to the physician on-call. Please remember if you are having a life-threatening medical emergency, call 911 or proceed to your nearest emergency department.

For additional information or for a non-urgent appointment request, click for more.

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The New Patient Packet includes forms required for patients visiting Concord Orthopaedics for the first time or if it has been one year since your last visit. Forms include Health History, Electronic Communication Consent, Financial Policy, and Patient Consent Forms.

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New patient forms for patients of Dr. Russell Brummett and Alan Parzick, PA-C. Forms include Health History, Electronic Communication Consent, Financial Policy, and Patient Consent Forms. All new patients and patients that have not been seen in over a year must complete all forms included in this packet.

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Dr. Nagel's New Patient Packet includes History Form - Pain Diagram, Electronic Consent Form, Financial Policy Form, and Patient Consent Form.

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Forms, handouts and links to easy access information you may need as a patient at Concord Orthopaedics.

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Information regarding your DEXA Scan appointment and Osteoporosis Questionnaire

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We have provided you with care instructions to assist in your treatment and recovery.

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We have provided forms and other helpful information to assist you in preparing for your visit at Concord Orthopaedics.

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The Rheumatology New Patient Packet includes forms required for new patients or existing patients that have not been see in over a year of Dr. Hoke Shirley, Dr. Andrée Phillips, and Dr. Irene Orzano.

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These forms are for existing patients of Dr. Hoke Shirley, Dr. Andrée Phillips, and Dr. Irene Orzano requiring an update to their health history, electronic communication consent, financial policy, and patient consent forms. These forms are for existing patients only.

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To our Patients, Families and Communities,

Your health, welfare & safety are paramount when you come for an appointment at any of our facilities. We are closely monitoring the guidance of the World Health Organization and the Centers for Disease Control & Prevention regarding the spread of the virus. Our focus is to ensure we meet our patient’s needs while doing our part to keep you, our associates, and our communities safe. Effective immediately, the Acute Injury Clinic (AIC), will remain open Monday-Friday from 9 a.m. - 4 p.m. The AIC will NOT open on Saturdays.

At this time, the impact to our communities has been minimal and our staff is focused on providing the orthopaedic care our patients expect and deserve. If you have an appointment with us, we respectfully ask that you let us know if you have a fever, cough, and/or shortness of breath in advance of your appointment. Also, if you have recently traveled to or been in close contact with anyone who has traveled outside of New Hampshire, especially to New York State, we ask that you avoid visiting our practice for a period of 14 healthy days.

Thank you for your continued trust in COPA. We appreciate your cooperation as we work to support the health of our patients & employees.

Sincerely,

Ron Chorzewski

CEO