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About
Dr. Thomas Clanton
Dr. C. Thomas Haytmanek, Jr.
Our Team
The Steadman Clinic
Conditions & Treatments
Foot & Ankle Overview
Foot & Ankle Anatomy
Conditions
Achilles Tendonitis
Achilles Tendon Rupture
Ankle Fracture
Bunions
Claw Toes
Corns and Calluses
Exertional Compartment Syndrome
Foot & Ankle Arthritis
Hallux Rigidus
Hammer Toes
Heel Pain
Lisfranc Injury
Morton’s Neuroma
Plantar Fasciitis
Sesamoiditis
Sprained Ankle
Talus Fracture
Treatments
Achilles Tendon Surgery
Cartiva® SCI
STAR Ankle Replacement
Resources
Pre-Operative Resources
Office Information
Patient Forms
What to Expect
on Your First Office Visit
Insurance and Payment
Colorado Physical Therapy
Colorado Compounding Pharmacies
Post-Operative Resources
Weight Bearing Progression
Boot Wean Progression
Cast Care
Shoe Recommendations
Foot & Ankle Taping
How Do I Get Rid Of Unused Medications?
Research
News
Contact
Home
About
Dr. Thomas Clanton
Dr. C. Thomas Haytmanek, Jr.
Our Team
The Steadman Clinic
Conditions & Treatments
Foot & Ankle Overview
Foot & Ankle Anatomy
Conditions
Achilles Tendonitis
Achilles Tendon Rupture
Ankle Fracture
Bunions
Claw Toes
Corns and Calluses
Exertional Compartment Syndrome
Foot & Ankle Arthritis
Hallux Rigidus
Hammer Toes
Heel Pain
Lisfranc Injury
Morton’s Neuroma
Plantar Fasciitis
Sesamoiditis
Sprained Ankle
Talus Fracture
Treatments
Achilles Tendon Surgery
Cartiva® SCI
STAR Ankle Replacement
Resources
Pre-Operative Resources
Office Information
Patient Forms
What to Expect
on Your First Office Visit
Insurance and Payment
Colorado Physical Therapy
Colorado Compounding Pharmacies
Post-Operative Resources
Weight Bearing Progression
Boot Wean Progression
Cast Care
Shoe Recommendations
Foot & Ankle Taping
How Do I Get Rid Of Unused Medications?
Research
News
Contact
Contact
Contact
Thomas Clanton
2018-03-19T16:58:05+00:00
*For urgent or acute cases, please call us at
970-476-1100
*
Response to these inquiries can take several days
I would like to:
*
Ask a Question
Submit Case Review
Our team welcomes your Film Review for a fee of $250. To initiate a second opinion, please complete the below form. Once the form is completed, you will be directed to instructions on how to move forward.
Please note: due to high volume, film reviews may take up to 3-6 weeks.
I understand that the Clinical Case Review that I will receive is preliminary and limited because it does not have information typically obtained through a physical examination. The absence of a physical examination could affect the ability to diagnose my condition or injury. This Clinical Case Review is not intended to replace a full medical evaluation or an in-person visit with a physician. I agree to solely assume the risks of the limitations associated with this review and understand that no warranty or guarantee is made to me concerning a specific result or cure of my condition or injury. I have read and agree to be bound by these conditions.
*
Yes, I agree
No, I do not agree
In order to complete a case review with our team, you must agree to our terms. If you would like to ask our team a question, please
click here
and select the option "Ask a Question".
Name
*
(First, Last)
Email
*
Phone
*
City / State / Country
*
How did you find us?
*
Physician Referral
Family/Friend Referral
Internet Search
N/A
Referring Physician Name
Referring Family/Friend Name
Gender
*
Male
Female
Date of Birth
*
(MM/DD/YYYY)
With this case review, what can we help you with?
*
Discuss surgical options
Discuss alternative treatments
Second opinion
Insurance Provider
*
If uninsured, please note that you are uninsured.
Injury Side
*
Right
Left
Both
Did your injury occur to your foot and/or ankle?
*
Foot
Ankle
Both
Date of Injury
*
(MM/DD/YYYY) If chronic, please put date when pain began.
Brief Description of Injury
*
Description of Symptoms
*
Have you received a diagnosis from another physician?
*
Yes
No
If so, please describe the physicians diagnosis
Prior Medical History
*
Prior Surgical History
*
If no surgical history, please state none.
Current Medications
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If you are not on any medications, please state none.
Case Review Information
*
I will download the Review & Payment form and will mail it to the office.
You will receive a Review & Payment document when this form is submitted.
Name
*
(First, Last)
Email
*
Phone
*
City / State / Country
*
How did you find us?
*
Physician Referral
Family/Friend Referral
Internet Search
N/A
Referring Family/Friend Name
Referring Physician Name
Medical Issue
*
Your Question:
*
