Patient Guide

Make an Appointment
Patient Guide

Make an Appointment

The Orthopaedic Group offers comprehensive orthopedic care. We welcome new patients and new patient referrals to our practice. If you have had previous x-rays, MRI's, CT scans, EMG's and they relate to your current orthopedic problem, our physicians would like you to bring them with you at the time of your visit.

You may request an appointment by calling our office at (203)865-6784, emailing us at scheduling@togct.com, or by completing the following appointment request form:

Make an Appointment

First Name:
Last Name:
Date of Birth:
Street Address:
 
City:
State:
Zip:
Primary Phone:
Secondary Phone:
Email:
Referral Source:
Seen here before? Yes No
If yes, seen by whom?
Insurance Type:
Insurance Carrier:
Preferred Physician:
Preferred Office Location:
Injury Due To: Work
Car Accident
Other
Playing Sports
Accident at Home
Please provide a brief description of your Orthopaedic
problem and how it occurred: