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
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
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
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
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
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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:
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