Skip to content
  • HOME
  • ABOUT US
    • History
    • What Sets Guilford Orthopaedic Apart
    • What our patients are saying
    • Facilities Tour
  • SERVICES
    • Surgical Procedures
      • Sports Medicine
        • ACL Reconstruction
        • Patellofemoral Ligament Reconstruction
        • Knee Ligament Reconstruction
        • Labral Repairs
        • Rotator Cuff Repair
        • Shoulder Arthroscopy
        • Knee Arthroscopy
      • Joint Replacement
        • Total Hip Replacement
        • Total Knee Replacement
        • Total Shoulder Replacement
      • Spine Surgery
        • Cervical, Thoracic and Lumbar Decompression
        • Lumbar Microdiscectomy
        • Spinal Reconstruction and Fusion
        • Minimally Invasive Sacroiliac Joint Fusion
        • Kyphoplasty
        • Spine Trauma
      • Shoulder Surgery
        • Total Shoulder Replacement
        • Rotator Cuff Repair
        • Labral Repairs
        • Shoulder Arthroscopy
        • Surgery for Shoulder Dislocations
      • Hand Surgery
      • General Orthopaedics
        • Fracture Management
        • Shoulder Arthroscopy
        • Knee Arthroscopy
    • Nonsurgical Services
    • Therapy Services
      • Hand Therapy
      • Medical Acupuncture
      • Non-Invasive Pain Management
      • Physical Therapy
      • Spinal Injection
    • Diagnostic
      • Digital X-Ray
      • EMG/NCV
      • Fluoroscopy
      • Magnetic Resonance Imaging (MRI)
      • Ultrasound
    • Outreach Services
      • Sports Physicals
      • Team Partnerships
    • Worker’s Compensation – Independent Medical Exams
      • Industrial Rehabilitation
        • Functional Capacity Evaluation
        • Fitness for Duty Test
        • Job Site Evaluation
        • Work Conditioning
        • Post-Offer Employment Screening
        • Workstation Evaluation
  • PROVIDERS
    • Physicians
      • Frank Rowan, MD
      • Peter Dalldorf, MD
      • John Graves, MD
      • Jesse Chandler, MD
      • Mark Dumonski, MD
      • David Thompson, MD
      • Chris Adair, MD
      • Bradley Wham, MD
      • Dominic McKinley, MD
      • Hao Wang, MD
      • Vincent Paul, MD – Retired
    • Physician Assistants
      • James Bethune, PA-C
      • Jesse Jordan, PA-C
      • Kayla McKenzie, PA-C
      • Andrew Nida. PA-C
      • Eric Phillips, PA-C
      • Amber Porterfield, PA-C
      • Kirsten Schrader, OPA-C
      • Michael Carnaghi, PA-C (Retired)
    • Physical Therapist
      • Ray Kargo, MSPT-Director
      • Nikki Rogers PT, Cert. MDT
      • Suzanne Lang, PT, ATC
      • Andrew Ingle, MPT
      • Paige Becker, PT DPT
    • Physical Therapist Assistants
  • NEWS & EVENTS
    • Holiday Hours
  • PATIENT EDUCATION
    • Articles by Staff
    • Frequently Asked Questions
    • Accepted Insurance
    • Medical Records Policy
    • Payment Policy
    • Prescription Policy
    • Patient Forms
    • Privacy Policy (HIPAA)
  • CONTACT US
    • Contact Form
    • Map, Directions and Hours
    • Employment Opportunities

We work to keep you playing!

SAME DAY APPOINTMENT

To Schedule a Physician Appointment: 336-275-3325

To Schedule a Physical Therapy Appointment: 336-275-7405

1915 Lendew St. Greensboro, NC 27408

Authorization to Release PHI (Personal Health Information)

Posted on December 18, 2014 by admin

Authorization to Release PHI (Personal Health Information)

Post navigation

← Authorization to Release PHI (Personal Health Information)

Online Appointment Registration

Online Bill Pay

Check Insurance

Orthopedic Urgent Care

Patient
Forms

To schedule an appointment:
Physician: 336-275-3325
Physical Therapy: 336-275-7405

Follow us on Facebook
facebook-icon

Specializing in these areas:
  • Orthopaedic Surgery
  • Therapy Services
  • Diagnostic Services
  • Worker’s Comp/IME

  • Sports Medicine
  • Sports Physicals
  • Industrial Rehabilitation
footer-logo 1915 Lendew St.
Greensboro, NC 27408
Phone: 336-275-3325
Copyright 2014 - 2024 Guilford Orthopaedic and Sports Medicine Center. A division of Southeastern Orthopedics Specialist.
Guilford Orthopaedic
  • HOME
  • ABOUT US
    ▼
    • History
    • What Sets Guilford Orthopaedic Apart
    • What our patients are saying
    • Facilities Tour
  • SERVICES
    ▼
    • Surgical Procedures
      ▼
      • Sports Medicine
      • Joint Replacement
      • Spine Surgery
      • Shoulder Surgery
      • Hand Surgery
      • General Orthopaedics
    • Nonsurgical Services
    • Therapy Services
      ▼
      • Hand Therapy
      • Medical Acupuncture
      • Non-Invasive Pain Management
      • Physical Therapy
      • Spinal Injection
    • Diagnostic
      ▼
      • Digital X-Ray
      • EMG/NCV
      • Fluoroscopy
      • Magnetic Resonance Imaging (MRI)
      • Ultrasound
    • Outreach Services
      ▼
      • Sports Physicals
      • Team Partnerships
    • Worker’s Compensation – Independent Medical Exams
      ▼
      • Industrial Rehabilitation
  • PROVIDERS
    ▼
    • Physicians
      ▼
      • Frank Rowan, MD
      • Peter Dalldorf, MD
      • John Graves, MD
      • Jesse Chandler, MD
      • Mark Dumonski, MD
      • David Thompson, MD
      • Chris Adair, MD
      • Bradley Wham, MD
      • Dominic McKinley, MD
      • Hao Wang, MD
      • Vincent Paul, MD – Retired
    • Physician Assistants
      ▼
      • James Bethune, PA-C
      • Jesse Jordan, PA-C
      • Kayla McKenzie, PA-C
      • Andrew Nida. PA-C
      • Eric Phillips, PA-C
      • Amber Porterfield, PA-C
      • Kirsten Schrader, OPA-C
      • Michael Carnaghi, PA-C (Retired)
    • Physical Therapist
      ▼
      • Ray Kargo, MSPT-Director
      • Nikki Rogers PT, Cert. MDT
      • Suzanne Lang, PT, ATC
      • Andrew Ingle, MPT
      • Paige Becker, PT DPT
    • Physical Therapist Assistants
  • NEWS & EVENTS
    ▼
    • Holiday Hours
  • PATIENT EDUCATION
    ▼
    • Articles by Staff
    • Frequently Asked Questions
    • Accepted Insurance
    • Medical Records Policy
    • Payment Policy
    • Prescription Policy
    • Patient Forms
    • Privacy Policy (HIPAA)
  • CONTACT US
    ▼
    • Contact Form
    • Map, Directions and Hours
    • Employment Opportunities