COVID-19 ALERT: Get the care you need, safely and when you need it. Video visits are available and safety measures are in place for required in-person visits to practices, Urgent Care and the Emergency Department. Call your provider with questions about your health or upcoming visits. Learn more about the ways you can safely receive care here.

Request an Appointment

Request an appointment online with a UVM Medical Group orthopedic specialist.

Returning patient? Log in and schedule your appointment through MyChart.

New patient? Click the button below to request an appointment.

Request Appointment

The University of Vermon Medical Center Orthopedics has provided here for your convenience a number of forms related to your upcoming hip surgery, so that you can review and fill these out in the comfort of your home.

If you have any questions about these materials, we would be happy to discuss. Please call us at the UVM Medical Center's Orthopedic and Rehabilitation Specialty Center at 802-847-2663.

NOTE: The following two forms are available in a format that allows you to type in the information on your computer. Click on the links below to open the documents, then click on the form in the area where you need to fill out information and type it in. Once you've filled out the information, save the form to your computer, and print it out to bring to your appointment. You may also print the form out and fill it out by hand if you would prefer.

Hip Assessments (Located at

Please fill out the following two assessments.

NOTE: These pages cannot be saved due to patient data protection, so please print the filled in form before closing the window.

Related Documents

Hip Pain History

New Patient Information Form

View Our Locations

Orthopedics and Rehabilitation Center

 (802) 847-7470
UVM Medical Center Orthopedics and Rehab Center
192 Tilley Drive
South Burlington, VT 05403-4440
United States
View Map & Directions
Monday: 8:00 AM - 5:00 PM
Tuesday: 8:00 AM - 5:00 PM
Wednesday: 8:00 AM - 5:00 PM
Thursday: 8:00 AM - 5:00 PM
Friday: 8:00 AM - 5:00 PM


Orthopedics - San Remo Drive

 (802) 847-6377
UVM Medical Center Orthopedics and Rehab Center
6 San Remo Drive
South Burlington, VT 05403-6378
United States
View Map & Directions
Monday: 8:00 AM - 4:30 PM
Tuesday: 8:00 AM - 4:30 PM
Wednesday: 8:00 AM - 4:30 PM
Thursday: 8:00 AM - 4:30 PM
Friday: 8:00 AM - 4:30 PM