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Appointment Information

Schedule an Appointment

Reschedule an Appointment

Patient Registration Forms

Billing and Insurance Inquiries


Schedule an appointment.

An appointment can be made by calling 901-759-3111, or you may also use the following appointment form. Fill in the blanks below, and someone will either email or telephone your appointment time.

If your injury is work-related, you must call our appointment line. Workers' Comp injury appointments cannot be made online.

Please provide the following contact information:

Full Name:
Address:  
City:  
State:  
Zip:  
Home Phone:  
Work Phone:  

Have you ever been a Campbell Clinic patient?
Yes No

Has a non-Campbell Clinic physician treated you for this problem?
Yes No

If above answer is “Yes”, was this physician an orthopaedic surgeon?
Yes No N/A

What problem brings you to Campbell Clinic?

Please give a brief description of your problem:

Please list your primary insurance company and network:

Please list your secondary insurance company and network:

Please choose the doctor you wish to see. See the Physician section on this web site for each doctor’s specialty and office location:

For confirmation of your appointment, please indicate the best method to contact you. Please contact me via:
Phone Email Address
If email, please provide email address:

I prefer a:
Morning appointment
Afternoon appointment

Thank you for choosing our online Appointment Request Form. We will contact you within 24 hours with information regarding your appointment.



Contact Us:

What's New: UPDATED 5/25/2010


Dr. Frederick M. Azar named chief of staff 

Did You Know:

Campbell Clinic Orthopaedics has a Facebook page. 

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