Advanced Foot & Ankle Care, LLC. - New Patient Information
Advanced Foot & Ankle Care, LLC. - Where we take it one step at a time!
Welcome to the Advanced Foot & Ankle Care!
 
We would like to take this opportunity to say “Welcome” to our practice. At Advanced Foot & Ankle Care, LLC., we are dedicated to the care of our patients. We look forward to meeting your needs and appreciate the opportunity to do so, as we provide excellent Podiatry care for all of our patients.
 
For your convenience, our office hours are Monday through Friday, 8:30a.m. until 4:00p.m. To offer extra expediency to your experience, you may also request an appointment by selecting the appointment request in the menu.
 
To allocate for completion of new patient registration, we have prepared this patient packet for you to complete prior to your appointment in order to help make your visit a convenient and pleasant experience.  If there is allotted time, the completed paperwork may be mailed and/or faxed to us prior to your appointment. Please keep a copy on file in the event that the package is lost.  If your appointment is within 24 hours of receipt of this package, please bring the completed forms with you to your appointment. Please arrive thirty minutes prior to your appointment for your first visit; for subsequent appointments, please arrive fifteen minutes in advance of your scheduled appointment time.
 
Submit the following to Advanced Foot & Ankle Care, prior to your appointment:
 
  • Written Referral (If required by your insurance company)
  • Completed Registration Form
  • Completed History Form
  • Completed and Signed Financial Policy Form
  • List of Medications
  • Photo ID
  • Completed Sports Medicine History Form (If a sports or exercise injury)
  • Medical Insurance Card
  • Previous x-rays and medical records, if applicable
  • Shoes (bring a sample, only need one shoe per pair, of the more common shoes you wear - including athletic  and walking shoes)
 
Please be prepared to pay for the following at the time of your visit:
 
• Co-Payment (if applicable)
• Deductible (If not fully paid for this year)
• If no insurance, the full cost of visit {Note: For your convenience, we do accept Visa and Master Card.}
 
 
 
 
 
Our entire staff is here to help you in whatever manner we can. We look forward to serving you in the near future.