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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.  We accept most insurances.

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

pdf podiatry patient form downloadPatient History

pdf podiatry patient form downloadPrivacy Policy

pdf podiatry patient form downloadGout Diet

pdf podiatry patient form downloadPostop Foot Surgery Instructions

pdf podiatry patient form downloadPostop Nail Surgery Instructions

pdf podiatry patient form downloadPostop Tendon Surgery Instructions

pdf podiatry patient form downloadPostop Wart Surgery Instructions

pdf podiatry patient form downloadPatient Brochure

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

  • Please bring primary care physician referral if required by your insurance carrier
  • 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 or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office in Ferndale (248) 548-7363 or Milford (248) 685-1300 . Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

 

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