Need to schedule an appointment with Performance Orthopedics? Using the form below, please complete the fields required to notify us of your intent. Our office hours our Monday through Friday, 8:00am to 5:00pm. We are closed for holidays. Click here to Schedule an Appointment

After the completion of the form below, one of our qualified support staff will contact you to confirm your appointment. If you are a new patient, you may want to streamline your first office visit by downloading, completing, and printing our “New Patient Form” prior to arriving at our office.

PLEASE NOTE THE FOLLOWING: Submitting the request does not guarantee the appointment date or time. Before the appointment is set, one of the Performance Orthopedics staff will contact you for final confirmation. Do not show up to your appointment request without first confirming with a staff member. This is an online appointment request form and service. It may take up to one business day to process your request. If you need an urgent appointment, please call us directly at 248-988-8085 during regular business hours for faster service. If you have a true medical emergency, please call 911 or go to the nearest emergency room for treatment. The appointment requests will NOT be checked over the weekends or holidays. The on-call physician cannot make appointment requests over the weekend or after hours.

 

Please provide as much information as possible to insure the accuracy of your medical records. Thank you!

Are you a new patient?

New Patient Form

 

Appointment Request Form


Required fields are marked with an asterisk (*).

Your Name*   (required)

Patient Name   (if different)

Requested Appointment Time

Your injury involves:*

Enter this code below:   captcha

















Note: Completing the above request form initiates your appointment request. One of our patient representatives will contact your regarding your inquiry either by phone or email. Please be sure that the information you provide is as accurate as possible. Thanks!