1818 E. 23rd Avenue,Hutchinson, KS 67502

Prepare for your Visit

We know that your appointment with our orthopedic surgeon is important to you, and it can be most beneficial if you are prepared for it. This includes having the information your doctor will need from you as well as being able to gather the information that you need from your doctor.

Please let us know if there is anything we can do to further improve your experience with us at Alliance Orthopedic and Sports Medicine, LLC. We look forward to meeting you.

Things to bring/know for Your Appointment

  • Health Insurance Card
  • Current Photo ID
  • Insurance co-payment, co-insurance, and/or deductible information, if applicable
  • List of Specialists that you have seen
  • Name of your family physician
  • List of names and doses of Medications & Supplements you take
  • List of surgeries that you have had
  • Any braces or orthotics that you have used for your condition
  • Any imaging study that you may have in your possession (CD etc.)
  • Emergency Contact Information



Please bring your insurance card with you at the time of your appointment. For insurance plans that we contract with, your carrier requires that all co-pays be paid prior to any services being rendered. The co-pay requirement cannot be waived by our practice, as it is a requirement placed on you by your insurance carrier. You are responsible for any co-insurance, deductibles or non-covered services as required by your insurance. You will receive a statement from our office indicating what your insurance has paid. Any remaining balance is due upon receipt of that statement.

Insurances we accept are listed below. If you don’t see yours, contact us for the inclusive list.

In-Network Insurances:

  • Aetna
  • BCBS
  • Cigna
  • Coventry
  • Equian
  • HPK
  • Humana
  • KMAP
  • Medicare
  • RR Medicare
  • Multiplan
  • ProviDRs
  • UHC
  • UHC-Medicaid
  • TriCare/HNFS


No Insurance:

A $220.00 pre-payment will be due at the time of service. Any additional charges will be sent out on a statement.


Workers’ Compensation:

If your injury is due to an accident in your workplace, please be sure to contact your employer and inform them of your injury. You must provide the schedulers with all pertinent information such as insurance carrier, claim number, date of injury, adjustors name, phone and fax number before the appointment is scheduled. Failure to properly report this injury to your employer may result in your claims being denied. Denied claims will be your responsibility.


Disability or Insurance Forms:

There will be a charge of $20.00 for the completion of medical forms (charge is based upon the number of pages and complexity of information requested). Payment is due at the time of the request. Please allow 7-10 days for the completion of these forms.


What to wear:

  • Please wear or bring a pair of shorts or loose-fitting pair of pants if having a knee, foot or ankle assessment.
  • Women must wear a tank top with long hair tied back if having a shoulder assessment.

How long will my appointment be?

  • Please arrive 20 minutes early for your appointment.
  • Be prepared to be at your appointment for 1-2 hours.

Personalized care doesn’t always follow definitive times schedules, and we appreciate your understanding and patience if we keep you waiting longer then you expected. In some cases, patients require special attention, or your provider may be asked to assess a serious injury. Be assured that your doctor will make every effort to see you as soon as possible.

Patient History Questionnaire:

New patients may be asked to complete a New Patient Registration Questionnaire. You can do this in advance of your appointment at home and bring in the completed questionnaire or you may fill it out prior to being seen at your appointment.

X-Rays May Be Required:

An x-ray may be required for your appointment. The MOA (Medical Office Assistant) will let you know if you need an X-ray at the time of booking your appointment and will forward a requisition:

An X-ray facility operated by Mirage Imaging dba Summit Surgical is on site to facilitate the process.

If you have had any diagnostics (X-rays, MRI, CT, etc) done outside of Mirage Imaging then you will need to bring in a CD with the actual images and the report.

What will happen during my appointment?

  • Your doctor will take a history of your symptoms and inquire about what treatments you may have already tried.
  • The medical staff will also ask you questions about your general medical health, what medications you take and what other doctors you are seeing.
  • A physical examination will be conducted.
  • Your doctor will look at your x-rays or any other investigation tests you have had.
  • You and your doctor will discuss the diagnosis and come up with a treatment plan or organize more tests if necessary.



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