New Patients

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf podiatry patient form downloadNew Patients

pdf podiatry patient form downloadAuthorization For Release of Information

pdf podiatry patient form downloadNotice of Privacy Practices

pdf podiatry patient form downloadAcknowledgement of Receipt of Notice of Privacy Practices

pdf podiatry patient form downloadMedicare Signature On File

pdf podiatry patient form downloadPatient’s Insurance Authorization

pdf podiatry patient form downloadMedical History

pdf podiatry patient form downloadFinancial Policy

Formularios de pacientes
Imprima y complete los formularios para pacientes nuevos para que podamos acelerar su primera visita.

pdf podiatry patient form downloadNuevas Pacientes

pdf podiatry patient form downloadAutorización para la divulgación de información

pdf podiatry patient form downloadAviso de Prácticas de Privacidad

pdf podiatry patient form downloadFirma de Medicare en Archivo

pdf podiatry patient form downloadAutorización de Seguro del Paciente

pdf podiatry patient form downloadHistorial Médico

pdf podiatry patient form downloadPolítica Financiera

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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