top of page


Patient Resources //

First Visit to Real Life Prosthetics
 


First Visit //

 

​Thank you for your interest in Real Life Prosthetics. 

With each first visit, typically there are several forms to fill out which can be very time consuming.  For your convenience, and to expedite your first visit with us, we have provided the forms for you, here on the website, that you can print, fill out and bring with you to your first appointment.  You can either click on each individual form or you can click the "Print ALL First Visit Forms" to print all 11-pages at once.

We accept Medicare, Medicaid and most major insurances.

If you have any questions or would like to verify we accept your insurance, please do not hesitate to call our office at (410) 569-0606, and we will be more than happy to answer any questions you may have about your upcoming appointment.

 

Thank you, and we are looking forward to seeing you soon!

The Real Life Prosthetics Team

  • Patient Medical History Form  PDF

  • Patient and Insurance Information Form  PDF

  • Patient Agreement Form  PDF

  • Acknowledgement of Receipt Form  PDF

    • Notice of Privacy Practices and Patient Email/Text Message Informed Consent  PDF

    • Financial Policy and Procedures  PDF

    • Appointment and Funding Procedures  PDF

    • Medicare DMEPOS Supplier Standards  PDF  (Medicare Patients Only)

Download and Print

ALL First Visit Forms

11-Pages


A New Year May Bring Insurance Changes //

 

As we begin a new year, we want to take a moment to check in and wish you continued health and comfort. With the start of a new calendar year, insurance benefits and coverage often reset, including deductibles and available benefits.

To help us care for you without interruption, please be sure we have your most current insurance and contact information when you visit.

If you have questions or would like help reviewing your benefits ahead of time, our team is always happy to assist.

Thank you for trusting Real Life Prosthetics with your care. We are grateful to walk alongside you on your journey.

 

The Real Life Prosthetics Team

Have you updated your insurance for 2026
bottom of page