New Patients Forms

Welcome New Patients

New patients are welcome. All new patients are asked to complete the patient registration forms online. Print the forms and email the completed forms along with a copy/photo of your Insurance card to info@thefootcenter.com.

At the time of the initial visit, the patient must present their insurance card, photo ID, and a credit card. This will make the registration process smoother. Prompt arrival is most appreciated.

Bring the completed forms to the office on your initial visit.

If you would like to download the PDF, and do not already have AdobeReader® installed on your computer, click HERE to download.

New Patient Form