ARRANGE PRIORITY CARE

Patient Forms

Save time at your first visit by downloading and completing your paperwork at home. The forms take about 10 minutes to fill out, and having them ready lets us focus on your care from the moment you arrive.

What’s Included in the Forms

Patient Information

Your contact details, emergency contact, primary physician, insurance information, and preferred pharmacy.

Health Questionnaire

Your foot or ankle concern, medical history, current medications, allergies, and past surgeries. This helps us prepare for your visit.

Consent and Privacy

Consent for treatment, HIPAA acknowledgment, and an optional disclosure form if you’d like us to discuss your care with a family member.

Download Your Forms

One PDF, three pages. Print it out, fill it in, and bring it with you. That’s all there is to it.

Download Patient Forms (PDF)

What to Bring to Your First Visit

Your completed patient forms

Photo ID (driver’s license or state ID)

Insurance card (front and back)

A list of current medications

Referral paperwork, if applicable

Any imaging (X-rays, MRIs) from other providers

No insurance? No problem. We’re happy to discuss payment options when you arrive.

What to Expect at Your First Visit

Plan to arrive about 10 minutes early so our front desk can review your paperwork and get you checked in. Your appointment will typically include a thorough examination of your feet and ankles, a discussion of your symptoms and goals, and a recommended treatment plan. Most first visits last about 30 to 45 minutes.

Have questions before your visit? Give us a call at 651-426-3995 and we’ll be happy to help.