Please complete the following information to request an appointment with one of the Tulsa Total Joint physicians. It is important to fill out the entire form, including your name, address, telephone number and physician you wish to visit. A member of our staff will contact you regarding your appointment request.
 
Name: *
Address: *
City: *
State:  *   Zip Code: *
Phone: *     E-mail: *

 

I am now or I have been a patient of the Tulsa Total Joint Center or Central States Orthopedic Specialists.
Yes  No 
Please schedule me for an appointment with the following Tulsa Total Joint Center physician.
Please schedule me for an appointment with the first available Tulsa Total Joint Center physician.
Yes  No 

 
Please list any other information you feel we should know when scheduling your appointment, or other requests you have that would help us in scheduling your visit.


 

 
If your message is to cancel an appointment that has already been scheduled, please list the date and time of your appointment, as well as the physician you were scheduled to see. We request that cancellations be given a minimum of 24 hours in advance of your appointment.