Preparing for Visit

Your first appointment will begin with going over your medical history registration form and conducting a physical examination. The history gives your physician an idea about the type of symptoms or pain you may be experiencing, your past medical and surgical history and medications that you are currently taking. We may take in-house x-rays if none are available.


  • Insurance card.
  • Photo ID.
  • Co-payment, if required by your insurance. Co-payments are due at the time of service. For your convenience, we accept cash, checks, Visa, MasterCard and American Express.
  • Imaging or special testing on disk, including MRI, bone scan, doppler studies, joint and spine injections, CT/CAT scans, DEXA scans, ultrasound, and EMG.
  • Prior treatment records relating to your ailment if being seen for a second opinion.
  • Referral from your primary care doctor, if required by insurance.


Arrive at least 15 minutes early so that we may check you in and verify your information. If you need to cancel or reschedule an appointment, please call 24 hours in advance.


Dress comfortably for your appointment in loose fitting clothing that doesn’t have metal or decorations such as buttons and sequins. Depending on what body part you are being seen for it is beneficial to wear a certain type of clothing:

  • Upper extremity: loose fitting tank top or sleeveless shirt.
  • Lower extremity: loose fitting pants or shorts. Please avoid wearing jeans.


We require 48 business hours’ notice for all prescription refills. All medication refills that come in after 12:00 pm on Friday will not be addressed until the following Monday.

You can request prescriptions refills online through the MyChart patient portal, by calling our office or by calling your pharmacy and asking them to fax us a refill request.


Your doctor may order special testing. The appropriate testing facility will contact you to set up the appointment once they have received the referral and insurance authorization. If you are sent to a facility outside of Puget Sound Orthopaedics for special testing, you are responsible for scheduling a follow up appointment with your PSO doctor or PA to go over the test results. Review our Special Testing Notification for more information here.