Skip to main content
Mobile main menu
About
Our History
Our Foundations
Our Blog
Careers
Hip and Knee Fellowship Program
Hospital Affiliations
News and Events
Online Privacy Policy
Notice of Non-Discrimination
OrthoLoneStar FAQs
Doctors
Specialties
Back, Neck, and Spine
Elbow
Foot and Ankle
Hip
Hip and Knee Replacement
Knee
Orthopaedic Trauma
Pediatric Orthopaedics
Shoulder
Sports Medicine
On-Site Services
Casting
Durable Medical Equipment
In-Office X-Rays
Orthopaedic Telemedicine
Pharmacy
Physical Therapy and Rehabilitation
Surgical Center
Locations
Carrell Clinic Dallas
Carrell Clinic Frisco
Carrell Clinic Spine Center
Patient Resources
Search
Search
(214) 220-2468
|
Bill Pay & Portal
|
Request Medical Records
|
OrthoLoneStar FAQs
Appointments
Main menu
About
Doctors
Specialties
On-Site Services
Locations
Patient Resources
Search
Search form
Search
Home
Appointments
Refer a Patient
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
Requested Doctor
- None -
William A. Bruck, M.D.
Wayne Z. Burkhead, Jr., M.D.
John A. Baker, M.D.
James R. Sackett, M.D.
Daniel E. Cooper, M.D.
Paul C. Peters, Jr., M.D.
Andrew B. Dossett, M.D.
Eugene E. Curry, M.D.
Daniel A. Worrel, M.D.
Kurt J. Kitziger, M.D.
Andrew L. Clavenna, M.D.
Mark S. Muller, M.D.
Todd C. Moen, M.D.
J. Carr Vineyard, M.D.
M. Michael Khair, M.D.
William R. Hotchkiss, M.D.
J. Field Scovell, III, M.D.
Jason S. Klein, M.D.
Brian P. Gladnick, M.D.
Appointments
Appointments
Financial Policy
Insurance Information
Physician Coordinators
Preparing for Your Appointment
Refer a Patient
Requesting Patient Medical Records