Central States Orthopedic Specialists Inc Orthopedic Surgeons Tulsa Oklahoma

Online Appointment Request

To request an appointment with a Central States Orthopedic Specialists physician, please fill in the following e-mail form. It is important to include your name, telephone number, and address so CSOS can respond to you via telephone or regular mail if necessary.

( * ) Your name and phone number or email are required fields, so that we can contact you to confirm your appointment

Your Personal Details

Name:*
DOB:
Address:*
City:
State:
Zip Code:
Country:
Phone:*	(Please include area code)
E-mail:*

I have previously seen a CSOS doctor: Yes No

Please schedule me for the first available appointment with any CSOS physician. Yes No

I would like to request an appointment with the following doctor (if applicable)

I would like to be seen at this office location.

Briefly describe the reason(s) you would like to schedule an appointment with a CSOS physician.

If you need to change an appointment that has already been scheduled, please provide the details including the name of the doctor and the date and time of the scheduled appointment. This notification should be received at least 24 hours prior to your appointment.

Enter the code as it is shown : *

General Instructions
Joint Replacement Surgery
Spine Surgery

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