Schedule an Appointment
with Andrew Michael Cardover, M.D., MS

Please select an answer for each question below, then click the submit button at the bottom.

 YesNo
Are You A Current Patient of Andrews Sports Medicine & Orthopaedic Center?
Do You Have Health Insurance?
Is Your Problem The Result of An Automobile Injury?
Is Your Injury Part of A Workman Compensation Case?
If This Is A Workman Compensation Case, Are You A Professional Athlete?
Is This A Department of Labor Case?
If This Is A Workman Compensation Case, Is This A New Injury?
Are You Paying Using Medicare/Medicaid For This Injury?
Do you plan on paying for Andrews Sports Medicine & Orthopaedic Center services yourself? (cash payment or selfpay)
Is The Injury Related To Your Back , Spine or Neck?
Is The Injury Related To Your Foot?
Is The Injury Related To Your Ankle ?
Is The Injury Related To Your Knee?
Is The Injury Related To Your Hip or Upper Thigh?
Is The Injury Related To Your Hand ?
Is The Injury Related To Your Wrist?
Is The Injury Related To Your Elbow?
Is The Injury Related To Your Shoulder?
Is This A Fracture or Broken Bone?
Do You Think You Have A Sprain or Torn Ligament?
Have you had multiple surgeries for the existing problem before?
Are You Getting A Second Opinion?
Have You or Are You Being Referred To Us From Another Doctor?
Is This Injury The Result of A Wound Received?
Are You Being Treated For An Injury That Involves Litigation or Legal Recourse?

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