Tucson Orthopaedic Institute, P. C.

To schedule an appointment at Tucson Orthopaedic Institute, please call one of our three convenient offices or complete the form below. Please choose only one appointment option. If you both call and complete the form your appointment information may be duplicated.

Appointment schedulers are available during regular business hours, Monday - Friday 8:00 am - 4:30 pm. Online requests are answered by the following business day. If you require a response sooner, please call one of our convenient offices.

Please click here for more information on preparing for your office visit and to access important medical history and insurance forms to bring with you.

East Office on Grant Road
2424 N. Wyatt Dr.
Tucson, AZ 85712

Tel. 520-784-6200
Toll Free 1-877-784-6200
Spine Tel. 520-784-6300

Northwest Office on La Cholla
6320 N. La Cholla, Ste 200
Tucson, AZ 85741

Tel. 520-382-8200
Toll Free 1-877-784-6200
Spine Tel. 520-784-6300

Oro Valley Office
1521 E. Tangerine Rd Ste. 101
Oro Valley, AZ 85755

Tel. 520-544-9700
Toll Free 1-877-784-6200
Spine Tel. 520-784-6300

Online Appointment Form * Required
* Patient's Name:
* Date of Birth:
* E-mail address:
Your Name, If Different:
* Phone Number:
* Alternate Number:
* Insurance Provider:

Have you been seen at an Emergency Room for this injury? Yes No

* Was your injury caused by a motor vehicle accident (MVA)? Yes No

* Were you injured on the job? Yes No

Were you referred to us? Yes No

If yes, by whom?
Address:
Phone Number:

* What part of your body is concerning you?
Spine	Shoulder	Elbow	Wrist	Hand
Hip	Knee	Ankle	Foot	Other:

* Have you had surgery on the injured part of the body? Yes No

* If you answered yes, Date of Surgery:

Name of Physician who performed your surgery:

Please briefly describe your symptoms:

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