Please check any that apply:
We are adding The Roderique Centre to our Workers' Comp Panel of Physicians.
Please call me to provide additional information.
I would like to schedule a tour of The Roderique Centre.
I would like to schedule a visit by The Roderique Centre to our company.
I would like more information regarding hand and upper extremity injury seminars.
Note: This form is not sent to the doctor directly. Call 404-USA-HAND (404-872-4263) to speak with the doctor if you have an emergency hand or upper extremity injury or to schedule an appointment.
* Required Field
Company Name:*
Company Address:*
Company Phone:*
Company Fax:
Contact Name:*
Contact E-Mail:*
Title:
Date:
   

 

 

© Copyright 2003 The Roderique Centre. All Rights Reserved.
The Roderique Centre for Hand & Upper Extremity Surgery
955 Spring Street, N.W., Atlanta, GA 30309-3821
404-USA-HAND (404-872-4263)
FAX: 404-873-2455