Hip and Knee
Referrals

Hip and Knee
Referral Information

Please note: our clinic only accepts patients seeking hip or knee arthroplasties; orthopaedic issues besides these should be referred to the office of an orthopaedic surgeon.

Please complete the following form in its entirety and include any relevant medical history or EMR records. Referrals with missing information will be rejected. Once the referral is complete, fax it to (780) 432-6395.

Attach the appropriate X-rays to your referral:

  • Knee: AP weight-bearing, lateral of knee with knee flexed and skyline views.
  • Hip: AP pelvic centered at pubis, AP and lateral of the proximal half of affected femur.

No MRI is required for your referral to be accepted.

If you have questions regarding your referral, please contact our referral coordinator at (780) 377-1410.