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New Patient Forms

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your Doctor of Podiatric Medicine.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf podiatry patient form downloadNew Patients

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

If you have questions regarding billing or reimbursements, please call our office (519) 258-3668.

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