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Charles E Rhoades, M.D.

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Pay your bill online at the secure payment portal.

Orthopaedic Medicine is the medical, physical, and surgical treatment of disorders of the bones and joints and their associated structures.

PATIENT FORMS

In order to provide you with the best possible care, we require new patients to complete a health form.

Print and Download Form
Save time in our office by pre-filling the forms and bringing them with you for your first visit.

Now you can access forms on the D & D Secure Portal.

These forms will also be provided when you visit our office, but if you would like to fill out the forms prior to your visit we have provided them here.

 

secure portal
Use our Secure Portal to update your patient forms.
D & D Secure Portal
In addition, you'll find online appointment scheduling requests, medication renewals, and more!
 
 
Dickson-Diveley Midwest Orthopaedic Clinic © 2011
(816) 319-7600