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Please fill out the required information for an appointment request.  Your requested days and times will be taken into consideration and our scheduling team will contact you either by email or phone to confirm your appointment time.  When requesting a time, please give our team 1-2 business days to respond to your request.
Address
Preferred Days of the Week
Preferred Time of Day
Have you seen another physician for this condition/injury?

Please Fax or email all records to 205-975-6109 or sportsmedicine@childrensal.org.

Terms and Conditions
Users are advised that the information submitted through this form may be transmitted over unsecured email and releases Children's of Alabama and its employees, agents, and subcontractors from all responsibility or liability for any claims or damages arising from the content of the Email Form or the transmission thereof. By selecting the "I agree to Terms and Conditions" checkbox user acknowledges these terms and conditions and consents to transmission of the form.