Total Joint Class Registration

Please fill out the following information to register for our Total Joint Class.

Please note:
Patients of Dr. Randall Neumann will be scheduled for Wednesday class.
Patients of all other physicians will be scheduled for Monday class.

Class dates and times are subject to change and you will be contacted if there is a change in the schedule.

And as always, if you have any questions, please feel free to call us at 402.637.0600.

Required fields have *.

Patient First Name: *

Patient Last Name: *

Home Phone: * (xxx-xxx-xxxx)

Work Phone: (xxx-xxx-xxxx)

Street Address: *

City: *

State: *

Zip: *

Email: *

Procedure: *

Knee Physician: *

Hip Physician: *

Shoulder Physician: *

Monday Knee Schedule: *

Please choose a Monday class you wish to attend.

Class starts at 1:00 p.m. and lasts 2-3 hours. Please plan accordingly.

Monday Hip Schedule: *

Please choose a Monday class you wish to attend.

Class starts at 1:00 p.m. and lasts 2-3 hours. Please plan accordingly.

Monday Shoulder Schedule: *

Please choose a Monday class you wish to attend.

Class starts at 11:00 a.m. and lasts 2-3 hours. Please plan accordingly.

Wednesday Knee Schedule: *

Please choose a Wednesday class you wish to attend.

Class starts at 12:00 p.m. and . will last approximately 3 hours. Please plan accordingly.

Wednesday Hip Schedule: *

Please choose a Wednesday class you wish to attend.

Class starts at 12:00 p.m. and . will last approximately 3 hours. Please plan accordingly.

Wednesday Shoulder Schedule: *

Please choose a Wednesday class you wish to attend.

Class starts at 12:00 p.m. and . will last approximately 3 hours. Please plan accordingly.

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855.609.1600 | 402.609.1600

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