Patient Forms
Download and complete forms before your appointment to save time
Available Forms
Please download, complete, and bring these forms with you to your appointment. You can also complete them in our office if preferred.
New Patients
New Patient Intake Form
Complete your patient registration and medical history
Workers Compensation & Personal Injury Intake
Intake form for workers compensation and personal injury cases
Return Patients
Return Patient Intake Form
Update your information for returning patients
Consent Forms
Informed Consent and Pictures Form
Authorization for treatment and clinical photography
Telemedicine Informed Consent Form
Consent for virtual healthcare appointments
Policies
Financial Policy Form
Review our financial policies and payment expectations
HIPAA Policy
Learn about our privacy practices and patient rights
No Show & Cancellation Policy
Understand our appointment cancellation requirements
Insurance
Advanced Beneficiary Notice
Medicare coverage and liability information
Records
Medical Records Transfer Agreement
Authorization to transfer your medical records
Important Information
- Please complete all forms in full and bring them with you to your appointment
- Forms can be printed and filled out by hand or completed digitally
- Please bring a valid photo ID and insurance card to your first visit
- If you have questions about any forms, please contact our office
Need Help?
If you have any questions or need assistance with these forms, please don't hesitate to contact us.
Ready to Take the First Step
Toward Healthier Feet?
Book your appointment today or call either of our offices. Same-day appointments available at our Elmhurst and Bloomingdale locations.