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) and 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 purchased or prescribed
INSURANCE & FINANCIAL POLICIES
While we file most insurance claims as a courtesy for our patients, ultimately the patient is responsible for their bill. Please contact our business office to find out which insurance plans we partcipate and with whom we have a contract.
Even though our office may not be contracted with your insurance company or if you have no insurance, you are always welcomed here. Payment plans are available.
Please contact our office if you have any questions.
NEW PATIENT PAPERWORK
Double-click on the link below to download the forms.
All Medicare beneficiaries will be asked to complete an additional form, please double-click the link below
WE UNDERSTAND THAT YOU HAVE CHOICES ON WHO YOU ENTRUST WITH YOUR FOOT CARE.
WE ARE COMMITTED TO PROVIDING YOU QUALITY PODIATRIC MEDICAL CARE.
All new 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.
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.
OUR OFFICE specializES in all aspects of podiatry
TREATMENTS RANGE FROM CONSERVATIVE TO SURGICAL INTERVENTION
Arthritic Foot & Ankle Care
Ball of the Foot Pain
Bunions & Bunion Surgery
Children's Foot Care
Diabetic Foot Care
* OPEN LETTER TO ALL MEDICARE PATIENTS
Our office voluntarily Opted Out of Medicare on January 1, 2017. We continue to see Medicare patients on a federally mandated Private Contract. (see link above in New Patient Forms). Prior to being treated, this must be signed by all those with Medicare (this includes all primary and secondary Medicare beneficiaries).
* SAME DAY PAYMENT FEE SCHEDULE
We believe in price transparency and offer a same day payment fee (i.e., cash or self-pay price) for those patients without health insurance or whom we are not contracted with their insurance. These prices require payment in full at the time of service but may not apply if you plan to file insurance.
Please click HERE to access this fee schdule.
PATIENT INFORMATION DOWNLOADS