Welcome New and Existing Patients!

In order to serve you better and faster we have provided our Patient Information Form and Medical History Form online.  Instructions: Click on the links below to access the Patient Form and Medical History Form. After you click the link, a browser window will open. After it opens, click on the 'PRINT' icon on your browser. After the forms prints, fill each out and bring them into our office. Completing the Patient Information Form and Medical History Form will save you time on your initial visit or Follow-up visit!

Existing Patients: If you have a new foot and/or ankle problem, please update any changes by completing a new Patient Information Form.  Also, It is necessary for you to complete the updated Medical History Form to provide you with the care you have come to expect from our office.

*You must have an Acrobat Reader to view the Acrobat files.

Download     the Acrobat Reader Free       

• Patient Information Form
• Medical History Form

If you are unable to download the above files they are provided here as Microsoft Word .doc Files.

• Patient Information Form*
• Medical History Form*

FAQ's:

1) Do you have recommendations for improving the Office Visit - Click here

to download this .doc*

2) Can I send E-mails to you? Our office has an E-mail Policy for Existing Patients.

    E-mail Policy and Consent form can be downloaded as a word.doc -Click here to download this .doc*

3) New and Existing Patients Can Click Below to View Our Office's HIPAA Policy.

You can download it and print out the "acknowledgement of receipt of notice of privacy practices" on page 7.

Click here to view the Health Insurance Portability and Accountability Act of 1996(HIPAA)regulations

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