Patient Forms & Insurance
Download required forms before your appointment and verify your shoulder surgery insurance coverage. We accept most major insurance providers for shoulder procedures.
Download Patient Forms for Your Shoulder Surgery Appointment
Complete these forms before your visit to save time at check-in. All forms are PDF documents and safe to open on your computer. Print, complete, and bring them to your appointment.
New Patient Registration Form
Required for all first-time patients. Includes personal information, medical history, current medications, and shoulder surgery insurance details. Complete this form to expedite your check-in process.
Download New Patient FormMedical Records Release Authorization
Authorizes Cleveland Shoulder Institute to request your medical records from other healthcare providers. This helps Dr. Gobezie review your complete medical history for optimal shoulder surgery planning.
Download Medical Release FormForms are provided in PDF format. If you have difficulty downloading or printing, please arrive 15 minutes early and our staff will provide paper copies. For questions about shoulder surgery insurance verification, call our office before your appointment.
Shoulder Surgery Insurance Coverage
Dr. Gobezie accepts most major insurance providers for shoulder surgery procedures including total shoulder replacement, reverse shoulder arthroplasty, rotator cuff repair, and arthroscopic surgery. Verify your shoulder surgery insurance coverage below.
Questions About Your Shoulder Surgery Insurance?
Our billing team can verify your coverage and explain your benefits for shoulder surgery procedures. Contact us before your appointment to understand your out-of-pocket costs.
Ready to Schedule Your Shoulder Consultation?
Once you've downloaded your forms and verified your shoulder surgery insurance coverage, schedule your appointment with Dr. Gobezie.
Schedule Your Appointment