For your 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.

Forms can be completely by either using our patient portal link below, printing the forms out below and bringing them in, or completing them in our office. To expedite your first visit, we encourage using our patient portal below. 

Patient Portal
Before completing the forms you must call our office at 817-283-5151 and make an appointment. When making an appointment you will be given a login and password for our secure document system.

Instructions:

Step 1: Call the office at 817-283-5151 during normal hours and you will be given a Login and Password to enter.

Step 2: Click on the link above to access the new patient form. Once it opens, complete all the information on it. Completed form will be transmitted electronically to our office when you are through.

Step 3: Click on the link to access the health history form. Once it opens, complete all the information on it. Completed form will be transmitted electronically to our office when you are through.

Patient Forms
If you prefer not to use the patient portal, please print and fill out the New Patient forms so we can expedite your first visit.

pdf podiatry patient form downloadNew Patients

pdf podiatry patient form downloadNew Patients Medical History

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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