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(757) 215-1400
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  • Our Practice
    • Wardell Orthopaedics
    • Harbour Rehabilitation
  • About Us
    • Meet Our Medical Team
      • Physicians
        • Arthur W. Wardell, M.D.
        • Joseph Secor-Taddia, D.O.
        • Daren M. Wingard, M.D.
      • Physician Assistants
        • Michael T. Ratanataya, PA-C
        • Diana B. Tollaksen, PA-C
        • Danielle M. Lacorazza, PA-C
      • Physical Therapists
        • Craig D. Allen, P.T.
        • Maria Lyall, P.T.
        • Jacob A. Gomoke, P.T.
        • Eric Surber, D.P.T.
        • Peyton R. Blankenship, D.P.T.
      • Licensed Physical Therapist Assistants
      • Practice Administrator
        • Elizabeth Lester
    • Faces of the Office
  • Appointment & Patient Info
    • What To Expect On Your Initial Visit
    • Notice of Record Retention Practices
    • Pain Medication Treatment Policy
  • Patient Forms
  • Workers’ Comp
  • Office Info

Patient Forms

Please download and print the forms below, then fill them out and bring with you to your appointment.

Patient Information Form (Please Print Both Pages)

Medical Information Form (Please Print Both Pages)

Medical Release Form

Notice of Privacy Practices

Notice of Privacy Practices Receipt

Schedule an Appointment – Wardell Orthopaedics

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Meet Our Team

  • Arthur W. Wardell, M.D. – Orthopaedic Surgeon
  • Joseph Secor-Taddia, D.O. – Osteopathic Neuromusculoskeletal Physician
  • Daren M. Wingard, M.D. – Physiatrist
  • Michael T. Ratanataya, PA-C – Physician Assistant
  • Diana B. Tollaksen, PA-C – Physician Assistant
  • Danielle M. Lacorazza, PA-C – Physician Assistant
  • Craig D. Allen, P.T. - Director - Physical Therapist
  • Maria Lyall, P.T. – Physical Therapist
  • Jacob A. Gomoke, P.T. – Physical Therapist
  • Eric Surber, D.P.T. - Physical Therapist
  • Peyton R. Blankenship, D.P.T. – Physical Therapist
  • Elizabeth Lester – Practice Administrator
5818 D Harbour View Blvd., Suite 150
Suffolk, VA 23435 • 757-215-1400
info@wardellortho.com

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