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Refer a Patient

Thank you for referring your patients to Crystal Clinic Orthopaedic Center.

Our goal is to make the referral process simple and seamless for both providers and patients. Please submit the information below, and our team will contact your patient to schedule an appointment with the specialist best suited to their needs.

Referring Office Contact Information

Referring Physician

Your Name

Phone Number

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

Reason for Referral

Does this visit relate to a workers' compensation claim?

Yes

Patient Has Completed

Bone Scan

CT Scan

MRI

EMG

X-Rays

Cast/Splint Applied

Workers’ Compensation

Crystal Clinic Orthopaedic Center is dedicated to helping injured employees recover safely and return to work when medically appropriate. Through specialized orthopaedic expertise, proactive communication, and coordinated treatment planning, we support patients, employers, and claims professionals throughout the recovery process.

To submit a workers' compensation referral, please call (330) 668-4040. Learn more about our services and approach to occupational injury care below.

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Sports Community

Crystal Clinic Orthopaedic Center supports coaches, athletic departments, and community sports organizations with comprehensive sports medicine services. Our specialists provide expert care for athletes of all ages and competition levels, helping them prevent injuries, recover safely, and return to the activities they enjoy.

Learn more about sports medicine at Crystal Clinic Orthopaedic Center.

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ForMedicalPartners

Refer a Patient

Workers’ Compensation

Sports Community

For
Medical
Partners