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Forms in English

  • New Patient Medical History - Orthopedic
  • New Patient Medical History - Spine Surgery
  • New Patient Health History - Pediatric Orthopedic
  • Follow Up Questionnaire - Orthopedic
  • Pre-Participation Physical Evaluation History - Sports Medicine
  • New Patient Medical History Concussion - Sports Medicine

Formularios en Español

  • Historia Médica de Paciente Nuevo - Ortopedia
  • Historial Médico del Paciente Nuevo - Cirugía de la Columna
  • Antecedentes Médicos de Paciente Nuevo - Ortopedia Pediátrica
  • Cuestionario de Seguimiento -  Ortopédico
  • Historia Clínica del Paciente Nuevo - Traumatismo / Medicina del Deporte
University of Arizona Orthopaedic Surgery | Home

Department of Orthopaedic Surgery
PO Box 245064
Tucson, AZ 85724-5064

Tel: 520-626-4024

College of Medicine - Tucson
The University of Arizona is an EEO/AA - M/W/D/V Employer.

 

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We respectfully acknowledge the University of Arizona is on the land and territories of Indigenous peoples. Today, Arizona is home to 22 federally recognized tribes, with Tucson being home to the O’odham and the Yaqui. The University strives to build sustainable relationships with sovereign Native Nations and Indigenous communities through education offerings, partnerships, and community service.

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