You will need read and sign this form if you have an injury that was caused by a motor vehicle accident and will be covered by motor vehicle insurance. This form will allow Victory Sports Medicine & Orthopedics to submit your medical expenses (claims) to the motor vehicle insurance company.
Are you tired of being handed a clipboard full of forms when you check in?
We appreciate that your time is valuable and want to make your experience with us as simple and efficient as possible while providing the highest level of care. For your convenience, the links below provide important documentation and forms that can be reviewed and completed prior to your appointment. Please download and complete the applicable forms. Once completed, please print and sign them. You can then bring the completed and signed forms to your appointment or you can fax them to our office at (315) 685-7549.
New Patient Forms