Our goal is to provide you with the best medical opinion about the problem you have with your foot or ankle, the most reassuring and successful treatment, and a lasting benefit to keep you free from discomfort.
New Patient Forms
To assist our new patients with their first appointment. Prior to your appointment, please obtain copies of your medical records including any imaging. Please arrive 15 minutes prior to your scheduled appointment. While you will be pre-registered over the phone, it will still be necessary to complete paperwork at the time of your appointment, so please remember to bring your insurance card and picture I.D. You will be required to sign a HIPPA privacy act form at the time of your visit. If you have any questions regarding this form, please do not hesitate to ask.
It is recommended you write down any questions you may have for the physician in preparation for your visit. Please bring a list of all of your medications, including over-the-counter remedies, with you for your appointment.
If you have a HMO insurance, you are responsible for obtaining the necessary referral. If your referral is not available at the time of your visit, your appointment may need to be rescheduled.
If you have a co-payment, coinsurance or self-pay,, you will be responsible for payment at the completion of each visit. We accept visa, mastercard, discover, check, or cash. If you have further billing questions, please call our office and speak with the billing department at 321-728-0117.
We have two ways for you to complete your forms. You can either print them and bring completed forms with you to your appointment or you can fill them out on the website.
New Patient forms packet
Please download the forms here. Once you have filled in the forms save it and upload the completed files to the link below. If you have questions please feel free to call our office.