For Referring Providers – Request an Appointment

FOR 24/7 EMERGENCY ADVICE: 855-OUCH-OIP (855-682-4647)

Such as injuries, fracture, or other urgent orthopedic problems.
Walk-ins Welcome! No need to request an appointment. Simply visit our Camp Hill, Harrisburg or Carlisle Orthopedic Injury Clinic to be seen. Learn more


To refer a patient for an appointment, please Call, Fax, or fill out the following form.

Request an Appointment – Form

Referring Provider Information

    Patient Information

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    Click "Submit" to process your "Schedule an Appointment" Request Form.

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