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Make an Appointment

To make an appointment, please call the numbers to the right or complete the form below. Our scheduling staff will contact you by phone or email to confirm your appointment.

Please arrive promptly at your appointment time to fill out the necessary paperwork, or download our patient forms to complete before you arrive.

Cancellations

If, for whatever reason, you can’t keep your appointment, please call our office as soon as you are aware of the situation. We prefer one day advance notice so that others waiting to see Dr. Hamilton may have your appointment time. We do have a cancellation charge if you do not show up for your appointment.

We will make every effort to reschedule your appointment as quickly as possible

Fields with an asterisk are required.

First Name (required)

Middle Initial(required)

Last Name (required)

Address

City / State / Zip

Home Phone

Work Phone

Cell Phone

Email (required)

Date of Birth (mm/dd/yyyy)

Type of Injury

Date of Injury (mm/dd/yyyy)

Injury Information

IF AUTO ACCIDENT: We only accept auto insurance if you are the Insured party and you also have health insurance.

Auto Insurance Company

Agent/Contact

Phone Number

IF INJURY AT WORK: Please have your workers compensation carrier contact our office at 816-943-6400

Describe (briefly) your orthopedic problem:

Referring Physician

Insurance Plan

Appointment Time Prefrence

Contact By

 Home phone Cell Phone Email

Hours

8 a.m. to 5 p.m., Monday through Friday

Phone

St. Joseph Health Center
(816) 943-6400

Bates County Memorial Hospital
Outpatient Clinic
(660) 200-7006