FOOT DOCTOR USA

FOOT DOCTOR USAFOOT DOCTOR USAFOOT DOCTOR USA

FOOT DOCTOR USA

FOOT DOCTOR USAFOOT DOCTOR USAFOOT DOCTOR USA
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    • Home
    • Our Doctor
    • Appointments
    • New Patients
  • Home
  • Our Doctor
  • Appointments
  • New Patients

new patients

New Patients

For new patients, we make sure to obtain important background information, like medical history, and give time to get to know the doctor.  We accept most insurances.  


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

Download Forms Below

 

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

You are responsible for co-payments, deductibles, or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call (626) 577-0700. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Call Hours

Monday - Friday: 9 am - 5 pm PST

PATIENT FORMS

Patient Registration (pdf)Download
Patient Health History Questionnaire (pdf)Download
Financial Policy (pdf)Download
Podiatric Care and Treatment Acknowledgment (pdf)Download
Notice of Privacy Practices Acknowledgment (pdf)Download
Demographics (pdf)Download

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