Meet The Ortho Rhode Island Surgeons
October 15, 2025 | Newport Pickleball Club
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Number of guests attending
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you currently a patient of South County Health and/or Ortho Rhode Island?
Yes, both SCH and Ortho RI
No, I am not a current patient
Yes, SCH only
Yes, Ortho RI only
Name of orthopedic provider, if you currently have one:
Do you have a question for the Ortho Rhode Island Surgeons? If so, please enter it here:
What types of orthopedic surgery are you interested in learning more about?
Knee
Hip
Spine/Back
Shoulder
Wrist
Foot/Ankle
Other
Other
How did you hear about this event?
Word of Mouth
Email
Social Media (Facebook, Instagram, Linkedin, NextDoor)
Ad in Newspaper
Poster at Doctor's Office
Newport Pickleball Club
Other
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utm_campaign
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