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  • Orthopedic Surgery

    Don’t suffer any longer. Trust the expert team at Almater Hospital to treat
    your orthopedic condition.

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  • Cosmetic Surgery

    Our team of cosmetic surgeons can make your dream a reality!

    read more
  • Fertility Services

    Is a child in your future?
    Almater Hospital offers a wide
    variety of fertility treatments.

    read more
  • Bariatric Surgery

    Effective, permanent weight loss is attainable and affordable
    at Almater Hospital.

    read more
  • Geriatric Services

    Our geriatric physicians are trained in meeting the varied healthcare
    needs of older adults.

    read more

Make an Appointment at Almater Hospital

Complete the form below to request an appointment at Almater. A patient coordinator will contact you within two business days to review your medical and financial information, including insurance coverage, before an appointment may be offered.

Please be assured that this online appointment request form is in a secure area and that information entered and submitted is confidential. You may also contact us by phone through our Front Desk. Calls may be monitored or recorded for quality purposes.

Attention: If you are not the intended patient, please be sure to fill this form out with the appropriate patient information.

All fields are required unless marked optional.

Telephone number: It is important for you to provide us with a phone number so that we can let you know if there are any last minute changes regarding your appointment.

Patient Information

Have you received treatment from Almater before?

Does the patient have health insurance?

Patient's Gender:

Patient's Gender:

Type of Patient:

Preferred Language:

Medical Concern or Procedures

Specialty Requested:

Please list symptoms, diagnosis if you've received one, and reason for your appointment request:

Date of onset or duration of current problem:

Recent pertinent tests or X-rays (include date of procedure) concerning this problem:

Are you currently using any medication for any reason?

If you would like to provide additional information to the appointment staff, please add it here:

Do you have any discount affiliations? Your credentials will be required at the time of your consultation.

Yes, I have read and understand the Almater Hospital Privacy Policy.

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