Community Orthopedic Surgery, P.C. & Huron Valley Hand Surgery

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Instructions

If you need emergency medical care, go to the hospital.

Fill out this form, and you will be contacted with what appointments are available for you. Required fields are marked bold.

Request an Appointment

First Name Last Name Date of Birth (mm/dd/yy) Phone Number Which location would you prefer? No Preference Ann Arbor/Ypsilanti Brighton Saline Reason Please describe your symptoms.

Do you have pain? Can you describe where your symptoms are? Is there anything that you do that makes it worse or better?

Physician Referral

If you were referred by a physician, please give us their name.