For Medical Partners

At Shoreline Orthopaedics, we’re dedicated to providing exceptional orthopaedic care designed to support the diverse needs of the communities of West Michigan. Whether you're a medical professional, case coordinator, or an athletic care provider, we've simplified our referral process to ensure a smooth experience for everyone involved.

Choose the form that fits your needs, and we'll take care of the rest.

Primary Care

Workers’ Compensation

Sports Community

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Refer a Patient

Thank you for entrusting Shoreline Orthopaedics with your patients’ care.

Please fill out the form, and we will contact your patient directly within 24 hours to schedule an appointment. To speak with a scheduler, please call us at (616) 396-5855.

If you are a patient interested in making an appointment, please click here.

Photo: Refer a Patient

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Referring Office Contact Information

Referring Physician

Your Name

Phone Number

Fax Number (Optional)

If you would like a confirmation of your patient’s appointment, please provide your fax number

Patient Information

Patient Name

Date of Birth

Patient Phone Number

Patient Alternative Phone Number

Patient Email Address

Patient Insurance

Reason for Referral

Does this visit relate to a workers' compensation claim?

Yes

Patient Has Completed

Bone Scan

CT Scan

MRI

EMG

X-Rays

Cast/Splint Applied

Workers' Compensation

Thank you for entrusting Shoreline Orthopaedics with your employees’ care. We are here to support you as you care for your workers' compensation patients.

Please fill out the form, and we will contact your employee or claimant directly within 24 hours to schedule an appointment.

To speak with a scheduler, please call us at (616) 396-5855.

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Case Manager Contact Information

Name

Phone Number

Fax Number

Patient Information

Patient Name

Date of Birth

Patient Phone

Patient Email Address

Patient Claim Number or Social Security Number

Insurance Information

Workers’ Compensation Carrier

Billing Address

Date of Injury

State of Injury

Appointment Information

Doctor Preference

Please select the area needing care

Is there a time of day preference?

If requesting to be seen immediately, please call one of our offices at (843) 353-3460.

Referring Office Contact Information

Referring Physician

Your Name

Phone Number

Email Address

Fax Number (Optional)

If you would like a confirmation of your patient’s appointment, please provide your fax number

Patient Information

Patient Name

Date of Birth

Patient Phone Number

Patient Alternative Phone Number

Patient Email Address

Patient Insurance

Reason for Referral