Did you know the average person takes about 10,000 steps every day? That is a lot of stress on your feet! And when you consider the array of surfaces and inclines that people walk on, you can see how foot pain can be a common ailment.
That is why it is so important to seek care from a foot doctor if you are experiencing foot pain or mobility issues. Your ability to move is crucial to living a complete life, don’t allow pain to stop you from living your life!
Whether you have slight discomfort or severe pain, we can help you overcome your foot issues! Contact us today today to learn more about how we can help you!
Patient Forms
NEW PATIENTS
AUTHORIZATION FOR RELEASE OF INFORMATION
ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES
MEDICARE SIGNATURE ON FILE
PATIENT’S INSURANCE AUTHORIZATION
MEDICAL HISTORY
GRACE POLICY
APPOINTMENT CANCELLATION POLICY
FINANCIAL POLICY
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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 any questions regarding billing, please call our office.
Our office accepts a variety of PPOs including:
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Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.