We Are OPEN! (740) 439-4600

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.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf tell us about you form downloadTell Us About You

pdf podiatry patient form for adults downloadNew Patients Cambridge (Adult)

pdf podiatry patient form for children downloadNew Patients Cambridge (Child)

pdf podiatry patient form for adults downloadNew Patients Zanesville (Adult)

pdf podiatry patient form for children downloadNew Patients Zanesville (Child)

Other Forms

pdf financial obligation form downloadFinancial Obligation

pdf hipaa receipt form downloadHIPAA Receipt

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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