New patient info forms


Evergreen Prosthetics and Orthotics is committed to compassionate care and clinical excellence which is why want to make things as convenient as possible for our patients. Here you can find our patient forms, insurance information, as well as our very own Amputee Peer Support Program and New Amputee Resource Guide!

We are dedicated to ensuring each of our patients has access to the most current education, organizations and technology resources within the field of Orthotics and Prosthetics. Want to take your treatment and recovery to the next level? You’ve come to the right place! The links provided below are here so you can research and come prepared with any questions or concerns that you would like to discuss with your Evergreen Prosthetist or Orthotist.

New Patient Forms

Please review and fill out the paperwork below to save time before your next appointment!

Amputee Peer Support Program

Alex supports those who might not otherwise have support available. He coaches, encourages and advocates for his peers within the amputee community. At just 29 years old, Alex survived a traumatic accident and had his leg amputated below the knee and badly damaged his remaining leg, requiring him to now constantly wear an Ankle Foot Orthotic (AFO). Alex is an exceptional person, always considering others well-being, usually before his own. His accident has only strengthened that personal quality. Each day he lives his life to the fullest and wants everyone to know they are capable of the same.

Speaking with a fellow amputee is proven to help speed rehabilitation and better prepare you for what’s ahead. Get questions answered by someone who’s been there before. No matter where you’re at, build support, gain knowledge, identify goals and recover fully! Contact us to get in touch with Alex!

New Amputee Guide

Life is hard, so Evergreen has made it just a little bit easier for you! Download our New Amputee Resource Guide for helpful tips, educational organizations and prosthetic timelines.

Helpful Organizations & Educational Resources

Losing a limb can be disheartening, but at Evergreen we strive to get each patient back to doing what they love. Whatever your goals may be, we are here to help you through your recovery journey!