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Request an Appointment

If you are a patient or parent of a patient and would like to set up an appointment with an Orthopaedic Hospital Medical Group physician, please complete the form below.

ex. (xxx) xxx-xxxx
ex. doctor@laorthopaedic.com
MM/DD/YYY
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
12 + 1 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.