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In accordance with "Responsible RestartOhio" we are requiring all staff to wear a face covering. We do strongly recommend our patient's do as well when entering the office.
We ask that only patient be present at the appointment with the exception of a minor or patient requiring a caretaker. We ask that only 1 parent or caretaker arrive with the patient and will be taken to the treatment room with the patient. And PLEASE if you are not feeling well call our office and reschedule your appointment.
We appreciate your cooperation and support during this difficult time! #inthistogether

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.  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 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

You are responsible for co-payments or charges that are not covered by your insurance at time of visit. If you have questions regarding billing, please call (614) 891-2828 ext. 112. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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