Dear Patient:

On our website you will find the necessary forms that our office will need when you come for your scheduled appointment. Please be sure to fill out the Medical History Form, New Patient Form, and our Assignment of Benefits form, as well as the Accident Information Form (even if this injury is not caused by an accident.).  Tricare (Humana Military) patients, please fill out the special Accident Information Form.  We have also posted our HIPAA Privacy Policy for you to read as well.

As a reminder, please be sure to bring your insurance cards, along with an updated list of all current medications. Also if the patient is a minor child he/she must be accompanied by a parent/guardian or must have written permission for someone else to bring him or her to the appointment.

Please refer to our insurance provider list. If you have insurance that that is not listed, please contact us and we can help you.   Any co-pay fees for the insurance we are providers with are due at the time of service.

If you have any questions please call us anytime. If you would like to e-mail us, please contact Manny@LWOrthopaedics.com  for new patient insurance questons or Rubi@LWOrthopaedics.com for billing questions.

Thank you

Dr Litke, Dr Wey and staff

New Patient Forms

These are available in PDF format.  Please download, print them out, fill them out and bring them with you.  If you are not able to do so, forms will be available at the office.  If you don't have Adobe Reader, you can download for free at Adobe.com.


New Patient Form

Medical History Form

Accident Information Form

Tricare (Humana Military) Accident Information Form

HIPPA Privacy Policy

Insurances Accepted

Insurance is an important part of your healthcare. Verifying coverage allows you to focus on your treatment and a hassle-free recovery.

Please click here to view the insurances accepted.  If yours is not listed, please contact Manny@LWOrthopaedics.com or call 972-498-4791 for updated information.

Subject to change.