Patient Forms

Patient Forms

Patient Forms

Resources and Financing

Forms

Medical Record Release

By signing this form, you will authorize us to release confidential health information about you.

New Patient Packet

Fill this form to give us your brief medical history.

Privacy Practices Notice

Description of how medical information may be used, disclosed, & how you can access this information.

Financing

Financing Options

The best options for health, beauty, and wellness expenses.
Click here to see what options are available to you.

Pay My Provider

Here, you’ll be able to turn a single bill from your doctor into a series of convenient monthly payments you can pay over time.

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Patient Resources & Financing

Click to find and download or print one of our forms for new patients or payment and financing options. Helping make your first visit quick and easy!

If you are looking for more information on medical conditions and treatments of the foot and ankle, we have a Patient Education Page meant to give our patients easy access to a library of downloadable PDF resources.

Questions or Concerns?

Our friendly staff are ready to help find the treatment you need and get you back on your feet. We are here for you!