Office Address
HOLLYWOOD OFFICE
3702 Washington Street
Suite 202
Hollywood, FL 33021
Phone: 954-964-6114
Fax: 954-962-1994
Schedule Appointment
CLICK HERE FOR OUR DAVIE, BOCA, LAKELAND, BRANDON AND TAMPA LOCATIONS
Diagnostic Test Result Request
Diagnostic Test Result Request
Items Patients Need to bring to first visit
X-ray films, MRI’s or past medical records that are pertinent to your treatment, insurance card, picture ID
Patient Forms
All of the forms below are fillable PDFs. Please fill out and email to info@blomortho.com.
Johannes V. Blom, MD Forms
New Patient Packet
New Patient Packet (Spanish)
Notice of Privacy Practices
Juan Carlos Galvez, MD Forms
New Patient Packet
New Patient Packet (Spanish)
Notice of Privacy Practices
Health Care Plans Accepted
Most major insurance plans are accepted, as well as Worker’s Compensation and out of network benefits are welcome
Pre-Surgical Preparation
- Nothing to eat or drink 8 hours prior to surgery except approved medications with a sip of water.
- Wear loose fitting clothes
- Arrange a ride home if you are having outpatient surgery
- Fill your pain medications before surgery
- Notify your health plan and family physician of your surgery
- Read your preoperative sheet of FAQ’s (frequently asked questions)
- Bring picture ID and any Pre-op orders that your physician has given you
- Please DO NOT bring jewelry or wear make up the day of your procedure
Post-Surgical Preparation
- Read your preoperative sheet of FAQ’s regarding post-op
- Ice and elevate the operated extremity
- Plan to rest for a few days after surgery to minimize bleeding and swelling
- Remember to call to renew narcotic prescriptions during office hours when we have access to your chart.
After Hours Process
If you have a life threatening emergency, please dial 911. Otherwise, call the on-call doctor and he/she will be happy to assist you with you needs.