WELCOME NEW PATIENTS
We ask that you remove all nail polish from toenails before your visit.
 
Please arrive at least 15 minutes before your scheduled appointment time to allow yourself some extra time if your are unable to download and complete the New Patient Paperwork prior to coming in for your appointment.

At your first visit, we ask that you bring the following:

  

  • Photo ID (eg. License or Military ID)
  • Insurance Cards 
  • List of Current Medications
  • Name of Primary Care Physician/Referring Physician
  • Any previous diagnostic tests and reports (eg. labs, xrays, MRI, CT, NCV, Ultrasound)
  • Any previous orthotic devices that have been prescribed
PRICING & FINANCIAL POLICY

NEW PATIENT PAPERWORK

 

Double-click on the link below to download the forms.  

      

 

Our office is equipped with state of the art digital radiographs and 3D cast mapping that integrates technologies with the services and procedures we offer.

WE UNDERSTAND THAT YOU HAVE CHOICES ON WHO YOU ENTRUST WITH YOUR FOOT CARE.  

WE ARE COMMITTED TO PROVIDING YOU QUALITY PODIATRIC MEDICAL CARE.

    

Most patients are pleasantly surprised to find out how affordable quality medical care can be when you take out the distraction by most third party insurance requirements and regulations.  By keeping things simple, our staff is able to focus on you by giving you the time and delivering the care that our patients need and expect from their doctors.
 
All patients will be requested to acknowledge understanding of our financial policy on their initial visit. Payment is expected at the time services are rendered unless prior arrangements have been made. For your convenience, our office accepts cash, check, debit card, Visa, MasterCard, American Express and Discover.
 
INSURANCE
  
We welcome you and ask that you consider us even though we may not be contracted with your insurance company or if you have no insurance.
 
We offer a  self-pay option (i.e. cash price) and payment plans are available.  This requires payment on the same day and time that services are rendered. We are able to offer a discounted price on these services because we do not have the costs associated with coding compliance, filing insurance claims, coordinating authorizations or any delays in reiumbursements.
   
Please contact our office if you have any questions.
NOTICE OF PRIVACY PRACTICES
All patients receive a summary of the Notice of Privacy Practices.  If you would like to review the entire document, please click on the link below.
 

We welcome all Medicare Beneficiaries to see us, but are required by the Code of Federal Regulations to sign the Private Contract between patient and opted-out physician. We voluntarily opted out of Medicare* officially at the end of 2016 in order to disengage ourselves from unreasonable rules and regulations that interfere with the sanctity of the patient-doctor relationship and the joy of practicing medicine. The Private Contract simply says that Medicare beneficiaries are responsible for the full amount of the bill.  Our opt-out status does not interfere in any way with the relationships patients may have with other Medicare physicians and health care practitioners.