Centers For Foot & Ankle Care


Welcome
About Dr. Smith
About Dr. Smith
Services
Office Information
New Patients
New Patients
Foot Disorders
Contact Us

Option 1: Complete the New Patient Process Online
You have the option to complete the new patient process online. This option lets you enter your information online.

Option 2: Printable Form
If you have a printer, you can print out our new patient form and our medical history form. After printed, bring the completed forms to our office on your initial visit.

Click on the links below to access the New Patient Form. After you click the link, a browser window will open. After it opens, click on the 'PRINT' icon on your browser. After the form prints, fill it out and bring them into our office. Completing the New Patient Information Form will save you time on your initial visit!

*You must have an Acrobat Reader to view the Acrobat files. Download the Acrobat Reader Free.


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