BOOK AN APPOINTMENT:

First, please select reason for visit
  • Shoulder
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  • Back
  • Neck
  • Elbow
  • Hand & Wrist
  • Hip
  • Ankle
  • Pelvis
Preferred Location*
Preferred Date & Time*
Your Name*
Phone Number*
Email Address*
Appointment Type*
Insurance*
Patient DOB*
Reason For Visit

By submitting personal health information (PHI), you authorize that:

We may use and disclose PHI for health care operations purposes, such as booking appointments and supplying information to our medical professionals and providers that will see and/or treat you. We may use and disclose PHI to contact you to remind you that you have an appointment with us. We also may use and disclose PHI to tell you about treatment alternatives or health-related benefits and services that may be of interest to you. We may use or disclose your PHI if law or regulations requires the use or disclosure. We may disclose PHI to our business associates that perform functions on our behalf or provide us with services if the information is necessary for such functions or services. You may revoke permission to use PHI for these purposes, or for any listed in our full notice, by writing to our practice Privacy Officer.

For more information, and for all the ways we may use PHI, read our full notice of privacy practices.