Skip to main content
Get Access to Orthopedic Guidance 24/7, Whenever You Need It, Free of Charge!
Chat Now!
(205) 228-7600
Careers
Patient Portal
Online Bill Pay
Appointments
Mobile main menu
About
Careers
Hospital & Surgery Center Affiliations
Meet Our Experts
Introducing Dr. Mary Gilmer
Introducing Dr. Bradly Goodman
Introducing Dr. Gregory Gullung
Introducing Dr. Zane Hyde
Introducing Dr. Joseph Ingram
Introducing Dr. Srinivas Mallempati
Introducing Dr. Tyler Marshall
Introducing Dr. Scott Morris
Introducing Dr. Scott Orr
Introducing Dr. Mark Rogers
Introducing Dr. Perry Savage
News & Events
Notice of Non-Discrimination
Online Privacy Policy
Sports Affiliations
Doctors
Areas of Specialty
Back, Neck & Spine
Elbow
Foot & Ankle
Hand & Wrist
Hip
Interventional Pain Management
Joint Replacement & Revision
Knee
Orthopedic Trauma
Physical Medicine & Rehabilitation
Rheumatology
Shoulder
Sports Medicine
Locations
Birmingham
Hoover
Childersburg
Pell City
Services
Bone Health & Osteoporosis Clinic
Diagnostic Imaging
Durable Medical Equipment (DME)
Electromyogram/Nerve Conduction Study
Pharmacy
Walk-In Clinic
Workers' Compensation
Therapy
Search
Main menu
About
Doctors
Areas of Specialty
Locations
Services
Therapy
Search
Search form
Search
Search
Refer a Patient
Home
Appointments
Refer a Patient
Referring Office Contact Information
Referring Physician
Your Name
Phone Number
Email Address
Fax Number (Optional)
If you would like a confirmation of your patient's appointment, please provide your fax number.
Patient Information
Patient Name
Date of Birth
Patient Phone Number
Patient Alternative Phone Number
Patient Email Address
Patient Insurance
Symptoms & Diagnosis
Was this injury/condition related to workers' compensation?
Yes
No
Patient Has Completed
bone scan
CT Scan
MRI
EMG
X-Rays
Cast/Splint Applied
Requested Time to Be Seen
1-2 Days
3-5 Days
CAPTCHA
Math question
2 + 6 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Submit
Appointments
Refer a Patient
Request an Appointment
Workers' Compensation