Welcome to the online Request an Appointment page for Concentra!

To refer a patient to OIP for an appointment, please complete the form below or call our Appointment Scheduling Department at (717) 761-5530, option 2.

This page should only be used by Concentra employees/providers. If you are a referring provider not associated with Concentra and need to request an Appointment or MRI, please visit the For Referring Providers Request an Appointment or Request an MRI page.

Referring Provider Information

Concentra Referring Provider Name *

E-mail Address (optional)

Phone Number *

Fax *

Patient Information

First Name *

M.I.

Last Name, with suffix *

Phone Number *

Birth Date *

Scheduling Type *

Reason For Appointment *

Will this patient need an interpreter? *

Comments

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Click "Submit" to process your 'Request an Appointment' Form.

After-Hours Orthopedic Assistance

Welcome to the online Request an Appointment page for Concentra!

Referring Provider Information

Patient Information