Patient Forms
These are forms for you, the patient, to bring to your appointment. Please follow the directions for each.
To print: right click each document in turn and select "save image as." Save image, then print from your computer. Or download the file by clicking the blue "Download File Now" link below each image. Please fill out each document prior to your appointment.
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Demographic and Assignment of Benefits
Please fill this out for your first appointment in our office and for each new year. This Document needs to be updated each year. Please Initial each line, if you have a question, bring it into your appointment and review it with our office staff.
If you are a new patient or a patient that needs to update information please complete all questions on the online registration
.
Review of Systems
This document is only needed for your first visit, please check either yes or no for each field. If we need you to update this document, we will inform you.
Online Registration
This document gives us permission to send the billing codes for orthotics to your insurance
Permission to Bill for Orthotics
PLEASE NOTE: filling out online registration does not make you an appointment. You must call the office directly to schedule an appointment
Office Hours:
Monday: 9:00am-5:00pm
Tuesday: 8:30am-12:00pm
Wednesday: 9:00am-5:00pm
Thursday: 2:00pm-5:00pm (Alternating)
Friday: 9:00am-5:00pm
Saturday: 9am-12pm (Alternating)
Sunday: Closed