During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

All New Patient Paperwork will be completed on the form link below.

Or by downloading our new patient forms below, filling them out, and bringing it to our office.

pdf podiatry patient form downloadNew Patients / Patient Information Form

pdf podiatry patient form downloadFinancial Agreement

pdf podiatry patient form downloadInStride Notice of Privacy Practices

pdf podiatry patient form downloadInStride Patient Acknowledgement

pdf podiatry patient form downloadMedical Information Sheet

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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Advanced Podiatric Procedures & Services in the Concord, NC 28025, Charlotte, NC 28215, Gastonia, NC 28054 & Salisbury, NC 28144 areas