Michael B. Gerhardt, MD - Orthopaedic Surgeon - Hip Specialist
Michael B. Gerhardt, MD - Orthopaedic Surgeon - Hip Specialist: (310) 829-2663
Facebook Twitter LinkedIn YouTube
Bookmark and Share
 

Appointments

Patient Forms

Please print the forms and fill them out as completely as possible.

Modified Harris Hip Score Modified Harris Hip Score

Hip Outcome Survey Hip Outcome Survey

Health Questionnaire Health Questionnaire

The "Health Questionnaire" is fairly self-explanatory. The "Mod HHS Scoring System" allows us to chart your progress in a standardized approach.

Medication Form Medication Form

Patient Information Form Patient Information Form

The "Patient Information Form" gives us your demographic information.

You will need the Adobe Reader to view and print these documents.Get Adobe Reader

Meet
Dr. Gerhardt
View Profile
Hip Arthoscopy - Michael B. Gerhardt, MD - Orthopaedic Surgeon - Hip Specialist
Non-Surgical Hip Treatments - Michael B. Gerhardt, MD - Orthopaedic Surgeon - Hip Specialist
Team Physician
La Glaxy Professional Soccer Team
Team Physician
The US National Men's Soccer Team
Team Physician
The Pepperdine University Athletics Department
  Your Practice Online