Joint Replacement Education Class

For those individuals (and caregivers) preparing for Knee or Hip Replacement surgery, please fill out the following form to register for our Joint Replacement Pre-Operative Education Class. Classes are held on Mondays at 3PM in the Conference Room in the 4th floor West Tower Orthopedic Unit. Parking is available in the West Tower Parking Structure off Chevy Chase.
* Indicates required information
Name *
Phone Number *
Email Address
Street Address 1
Street Address 2
City
State
Zip
Type of Surgery *
Date of Surgery *
Your Surgeon's Name
The date you wish to attend class *

1509 Wilson Terrace • Glendale, CA 91206 • Tel: 818-409-8000