Phoenix, Chandler, AZ Podiatrist

  

New Patients

New patients are welcome. All new patients are asked to complete the medical history and patient registration forms, and must present their insurance card(s) upon their first visit with our office. We ask that all new patients arrive a minimum of 20 minutes prior to their scheduled appointment in order to complete the registration process. Patients who have already completed the registration forms (by accessing them through our web site or by picking them up at our office) need only arrive 10 minutes prior to their scheduled appointment time.

Patient Portal

This is the preferred method to access our patient intake forms. Use the patient portal to access our new patient information forms and complete your information online in a secure environment.

Access Online Forms

Printable Forms

Download PDF
Format
New Patient Registration Form*
Predetermination of Benefits For Orthotics, DME and Tests*
Notice of Privacy Practices*

*You must have an Acrobat Reader to view the Acrobat files. If you don't already have Adobe Acrobat, you can download the Acrobat Reader Free.


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