Arnold Palmer SportsHealth Cente

Request an Appointment

To request an appointment at the Arnold Palmer SportsHealth Center at MedStar Union Memorial Hospital, please fill out the form below. By providing complete information, it will help us serve you better and more efficiently schedule your appointment.

A representative from MedStar Union Memorial Hospital will call you as soon as possible with the appointment date and time; however, it may take up to two business days to confirm.

If you would like to speak with someone directly, please call the physician referral service, Monday through Friday, 9 a.m. - 6 p.m., at 410-554-2266. Please note: We are not able to provide any medical diagnoses or consultations via phone or e-mail.

The physicians participating in this service have agreed to accept referrals and are approved for clinical privileges at MedStar Union Memorial Hospital.

If this is an emergency, please call 911 immediately.

Requestor Information
I am requesting this appointment for someone else
Daytime Phone Number 
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How did you hear about us? 

Patient Information
First Name * MI Last Name
Home Address *    
City * State * Zip Code *
Date of Birth * Gender
Reason for Contact* 
  Back Pain Elbow Foot / Ankle Hand/Wrist  
  Hip / Knee Shoulder Other    
Please describe your symptoms and/or existing medical condition.

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How long have you had these symptoms?

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Have you been treated for this condition in the past?
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Do you have current medical work-ups (MRI, x-rays, etc.) performed in the last 3 months?
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If you are seeking an appointment with a specific doctor, please type physician name here.
Health Insurance Provider
Preferred day of week for your appointment
First Choice
 
Second Choice

The physicians participating in this service have agreed to accept referrals and are approved for clinical privileges at MedStar Union Memorial Hospital.

Please note: When you register at any MedStar Health site, your information remains strictly confidential. As always, MedStar Union Memorial Hospital and its parent company, MedStar Health, respect your privacy. The information you submit is used for internal purposes only to help guide us in developing health information relevant to your needs. Read our privacy policy.