tcomn.com Open in urlscan Pro
141.193.213.21  Public Scan

Form analysis
1 forms found in the DOM

POST /physicians/michael-meisterling/home/#gf_5

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_5" id="gform_5" class="is-no-labels gform_legacy_markup" action="/physicians/michael-meisterling/home/#gf_5">
  <div class="gform_body gform-body">
    <ul id="gform_fields_5" class="gform_fields top_label form_sublabel_below description_below">
      <li id="field_5_21" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_21">
        <p class="is-sm">Do not share sensitive or confidential information over this email form. Please note it may take more than one business day to respond to your request.</p>
      </li>
      <li id="field_5_2" class="gfield populate-with-location field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_2"><label class="gfield_label" for="input_5_2">Location</label>
        <div class="ginput_container ginput_container_select"><select name="input_2" id="input_5_2" class="medium gfield_select" aria-invalid="false">
            <option value="" selected="selected" class="gf_placeholder">Select Location</option>
            <option value="No Preference">No Preference</option>
            <option value="Amery">Amery</option>
            <option value="Stillwater">Stillwater</option>
          </select></div>
      </li>
      <li id="field_5_3" class="gfield is-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_3"><label class="gfield_label" for="input_5_3">Patient Name<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_3" id="input_5_3" type="text" value="" class="medium" placeholder="* Patient Name" aria-required="true" aria-invalid="false"> </div>
      </li>
      <li id="field_5_18" class="gfield is-half field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_18"><label class="gfield_label" for="input_5_18">Date of Birth</label>
        <div class="ginput_container ginput_container_text"><input name="input_18" id="input_5_18" type="text" value="" class="medium" placeholder="Date of Birth" aria-invalid="false"> </div>
      </li>
      <li id="field_5_10" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_10"><label class="gfield_label" for="input_5_10">Address</label>
        <div class="ginput_container ginput_container_text"><input name="input_10" id="input_5_10" type="text" value="" class="medium" placeholder="Address" aria-invalid="false"> </div>
      </li>
      <li id="field_5_11" class="gfield is-quarter field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_11"><label class="gfield_label" for="input_5_11">City</label>
        <div class="ginput_container ginput_container_text"><input name="input_11" id="input_5_11" type="text" value="" class="medium" placeholder="City" aria-invalid="false"> </div>
      </li>
      <li id="field_5_12" class="gfield is-half field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_12"><label class="gfield_label" for="input_5_12">State</label>
        <div class="ginput_container ginput_container_select"><select name="input_12" id="input_5_12" class="medium gfield_select" aria-invalid="false">
            <option value="" selected="selected" class="gf_placeholder">Select State</option>
            <option value="Alabama">Alabama</option>
            <option value="Alaska">Alaska</option>
            <option value="Arizona">Arizona</option>
            <option value="Arkansas">Arkansas</option>
            <option value="California">California</option>
            <option value="Colorado">Colorado</option>
            <option value="Connecticut">Connecticut</option>
            <option value="Delaware">Delaware</option>
            <option value="District of Columbia">District of Columbia</option>
            <option value="Florida">Florida</option>
            <option value="Georgia">Georgia</option>
            <option value="Hawaii">Hawaii</option>
            <option value="Idaho">Idaho</option>
            <option value="Illinois">Illinois</option>
            <option value="Indiana">Indiana</option>
            <option value="Iowa">Iowa</option>
            <option value="Kansas">Kansas</option>
            <option value="Kentucky">Kentucky</option>
            <option value="Louisiana">Louisiana</option>
            <option value="Maine">Maine</option>
            <option value="Maryland">Maryland</option>
            <option value="Massachusetts">Massachusetts</option>
            <option value="Michigan">Michigan</option>
            <option value="Minnesota">Minnesota</option>
            <option value="Mississippi">Mississippi</option>
            <option value="Missouri">Missouri</option>
            <option value="Montana">Montana</option>
            <option value="Nebraska">Nebraska</option>
            <option value="Nevada">Nevada</option>
            <option value="New Hampshire">New Hampshire</option>
            <option value="New Jersey">New Jersey</option>
            <option value="New Mexico">New Mexico</option>
            <option value="New York">New York</option>
            <option value="North Carolina">North Carolina</option>
            <option value="North Dakota">North Dakota</option>
            <option value="Ohio">Ohio</option>
            <option value="Oklahoma">Oklahoma</option>
            <option value="Oregon">Oregon</option>
            <option value="Pennsylvania">Pennsylvania</option>
            <option value="Rhode Island">Rhode Island</option>
            <option value="South Carolina">South Carolina</option>
            <option value="South Dakota">South Dakota</option>
            <option value="Tennessee">Tennessee</option>
            <option value="Texas">Texas</option>
            <option value="Utah">Utah</option>
            <option value="Vermont">Vermont</option>
            <option value="Virginia">Virginia</option>
            <option value="Washington">Washington</option>
            <option value="West Virginia">West Virginia</option>
            <option value="Wisconsin">Wisconsin</option>
            <option value="Wyoming">Wyoming</option>
            <option value="Armed Forces Americas">Armed Forces Americas</option>
            <option value="Armed Forces Europe">Armed Forces Europe</option>
            <option value="Armed Forces Pacific">Armed Forces Pacific</option>
          </select></div>
      </li>
      <li id="field_5_13" class="gfield is-quarter field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_13"><label class="gfield_label" for="input_5_13">Zip</label>
        <div class="ginput_container ginput_container_number"><input name="input_13" id="input_5_13" type="text" value="" class="medium" placeholder="Zip" aria-invalid="false"></div>
      </li>
      <li id="field_5_14" class="gfield is-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_14"><label class="gfield_label" for="input_5_14">Daytime Phone<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_14" id="input_5_14" type="text" value="" class="medium" placeholder="* Daytime Phone" aria-required="true" aria-invalid="false"></div>
      </li>
      <li id="field_5_15" class="gfield is-half field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_15"><label class="gfield_label" for="input_5_15">Evening Phone</label>
        <div class="ginput_container ginput_container_phone"><input name="input_15" id="input_5_15" type="text" value="" class="medium" placeholder="Evening Phone" aria-invalid="false"></div>
      </li>
      <li id="field_5_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_6"><label class="gfield_label" for="input_5_6">Email<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_6" id="input_5_6" type="text" value="" class="medium" placeholder="* Email" aria-required="true" aria-invalid="false">
        </div>
      </li>
      <li id="field_5_7" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_7"><label class="gfield_label" for="input_5_7">Reason For Visit</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_7" id="input_5_7" class="textarea small" placeholder="Reason For Visit" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </li>
      <li id="field_5_8" class="gfield is-half field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_8"><label class="gfield_label" for="input_5_8">Referring Doctor</label>
        <div class="ginput_container ginput_container_text"><input name="input_8" id="input_5_8" type="text" value="" class="medium" placeholder="Referring Doctor" aria-invalid="false"> </div>
      </li>
      <li id="field_5_9" class="gfield is-half field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_9"><label class="gfield_label" for="input_5_9">Referring Email</label>
        <div class="ginput_container ginput_container_email">
          <input name="input_9" id="input_5_9" type="text" value="" class="medium" placeholder="Referring Email" aria-invalid="false">
        </div>
      </li>
      <li id="field_5_19" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_19"><label class="gfield_label" for="input_5_19">Diagnosis</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_19" id="input_5_19" class="textarea small" placeholder="Diagnosis" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </li>
      <li id="field_5_23" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_5_23">
        <div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_5_23">Physician Email</label>
        <div class="ginput_container ginput_container_text"><input name="input_23" id="input_5_23" type="text" value="scoinfo@tcomn.com, amylindstrom@tcomn.com, admin@twincitiesorthopedics.com, webcheck@tcomn.com" class="medium" aria-invalid="false">
        </div>
      </li>
      <li id="field_5_24" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_5_24">
        <div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_5_24">Physician Name</label>
        <div class="ginput_container ginput_container_text"><input name="input_24" id="input_5_24" type="text" value="Michael R. Meisterling, MD" class="medium" aria-invalid="false"> </div>
      </li>
      <li id="field_5_25" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_5_25"><label class="gfield_label" for="input_5_25">Comments</label>
        <div class="ginput_container"><input name="input_25" id="input_5_25" type="text" value=""></div>
        <div class="gfield_description" id="gfield_description_5_25">This field is for validation purposes and should be left unchanged.</div>
      </li>
    </ul>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_5" class="gform_button button" value="Submit" onclick="if(window[&quot;gf_submitting_5&quot;]){return false;}  window[&quot;gf_submitting_5&quot;]=true;  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_5&quot;]){return false;} window[&quot;gf_submitting_5&quot;]=true;  jQuery(&quot;#gform_5&quot;).trigger(&quot;submit&quot;,[true]); }"> <input type="hidden" name="gform_ajax"
      value="form_id=5&amp;title=&amp;description=&amp;tabindex=0">
    <input type="hidden" class="gform_hidden" name="is_submit_5" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="5">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_5" value="WyJbXSIsIjdjYWYwZGQ4YTJhZGRmYjg3M2ZhNDgyNmMyODg5NWUzIl0=">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_5" id="gform_target_page_number_5" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_5" id="gform_source_page_number_5" value="1">
    <input type="hidden" name="gform_field_values" value="physician_email=scoinfo%40tcomn.com%2C+amylindstrom%40tcomn.com%2C+admin%40twincitiesorthopedics.com%2C+webcheck%40tcomn.com&amp;physician_name=Michael+R.+Meisterling%2C+MD">
  </div>
</form>

Text Content

REQUEST AN APPOINTMENT

 * Do not share sensitive or confidential information over this email form.
   Please note it may take more than one business day to respond to your
   request.

 * Location
   Select LocationNo PreferenceAmeryStillwater
 * Patient Name*
   
 * Date of Birth
   
 * Address
   
 * City
   
 * State
   Select
   StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict
   of
   ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
   HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
   DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
   DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
   VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces
   Pacific
 * Zip
   
 * Daytime Phone*
   
 * Evening Phone
   
 * Email*
   
 * Reason For Visit
   
 * Referring Doctor
   
 * Referring Email
   
 * Diagnosis
   
 * Hidden
   Physician Email
   
 * Hidden
   Physician Name
   
 * Comments
   
   This field is for validation purposes and should be left unchanged.




MICHAEL R. MEISTERLING, MD

Schedule Online Call for Appointment
800-423-1088

Toggle
 * Home
 * About
 * Education
 * FAQs
 * Testimonials
 * Contact & Locations

Previous

Next


MICHAEL R. MEISTERLING, MD

Orthopedic Surgery, Board Certified Sports Medicine Fellowship Sports Medicine
Subspecialty Certification

Orthopedic Surgery, Board Certified Sports Medicine Fellowship Sports Medicine
Subspecialty Certification

Michael Meisterling, MD is a board-certified orthopedic surgeon specializing in
hip and knee injuries and conditions, and sports medicine. He completed a
fellowship in sports medicine at Adidas Sports Medicine in Auckland, New
Zealand. Since then, he has performed thousands of total joint surgeries and
knee arthroscopy procedures.


LOCATIONS

 * Amery
 * Stillwater


APPOINTMENT INFO ONLINE:

Schedule Online

By Phone:
800-423-1088


ABOUT THE PRACTICE

Our goal is to help our patients get back to their regular lifestyle as soon as
possible.


PATIENT EDUCATION

We have many great resources to help you before and after your visit.


FAQS

Find frequently asked questions to help you understand our procedures and
treatments.

 * Home
 * About
 * Education
 * FAQs
 * Testimonials
 * Contact

AMERY

265 Griffin St E
715-268-0449

STILLWATER

5715 Memorial Ave N
651-439-8807

Zum Verschieben drückst du die Pfeiltasten entsprechend.






←Nach links→Nach rechts↑Nach oben↓Nach unten+Heranzoomen-HerauszoomenPos1Um 75 %
nach linksEndeUm 75 % nach rechtsBild aufUm 75 % nach obenBild abUm 75 % nach
unten


Karte
 * Gelände

Satellit
 * Beschriftungen












Kurzbefehle
KartendatenKartendaten © 2022 Google
Kartendaten © 2022 Google

5 km 

Klicken, um zwischen metrischen und angloamerikanischen Maßeinheiten zu wechseln
Nutzungsbedingungen
Fehler bei Google Maps melden

Powered by Twin Cities Orthopedics.
©2022 Twin Cities Orthopedics. All Rights Reserved.

Notifications