Make An Appointment

Call 425.339.2433 to schedule your appointment.

You have decided to make an appointment with an orthopedic specialist. Some insurance companies require a referral before you schedule an appointment. Please check with your primary care physician or your insurance carrier.

What To Bring To Your Office Visit:

  • Insurance identification card.
  • Payment for your insurance co-pay. This must be paid at your first visit. We accept cash, check and credit cards.
  • Your referral – if required.
  • Previous x-rays; MRI’s and/or reports.
  • A complete list of ALL medications.

Patient Forms

Patient Registration

PLEASE FILL OUT, PRINT, AND BRING TO YOUR APPOINTMENT.
To be completed by all new patients.

Patient Contact

Authorization To Leave Personal Health Information By Alternative Means.

Authorization For Disclosure of Protected Health Information

Authorization to release health care information to a third party.

Information to Parents and Guardians of Minor Children

As a general rule, we require the consent of a parent or legal guardian in order to provide health care services to a minor child (someone under the age of 18).

About EBJ Proliance Surgeons

Ask The Surgeons Show

Shoulder Injuries

Shoulder Injuries

Ralph Haller, MD discusses labral tears seen in baseball players live at the Aquasox game.

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Joint Replacement For Shoulders

Joint Replacement For Shoulders expert Ralph Haller, MD, an orthopedic surgeon with EBJ Proliance Surgeons, talks about total shoulder joint replacement as an option given to patients who suffer from shoulder joint pain, rotator cuff disease and shoulder arthritis. Although shoulder joint replacement is less common than knee or hip replacement, it is just as…