Patient Forms John G. Kennedy, MD, FRCS, Lower Limb, Foot and Ankle, Cartilage Restoration, Orthopedic Surgeon, New York, NY / Foot & Ankle / Patient Forms CC Auth Telehealth Surgical Questionnaire Medicare Opt-Out Form Authorization Form for Medical Record Request MyChart Activation Telehealth Steps via MyChart You will need the Adobe Reader to view and print these documents.