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. Quick Links Patient Forms First Visit Postoperative Instructions Conditions Treated Online Appointment