What to Bring to Your Appointment
If you are a new patient, please plan on arriving at least 15 minutes early. Please bring the following items with you:
- Insurance card(s)
- Photo Identification
- Referral (if required)
- List of all medication that you are currently taking
- Any required co-payment
- Medical and surgical history information
- X-rays or MRI’s that you may have
- Completed forms (if they have been downloaded)
Please note: all patients under the age of 18 must be accompanied by a parent or guardian
- FAC Policies and Practices Documents (Adobe Acrobat® .PDF format)
 Notice of Privacy Practices
- Downloadable Patient Forms (Adobe Acrobat® .PDF format)
Patient Information Form
Patient Consent Form
Authorization for Release of Patient Information
Initial History Form
Please print and complete each form and bring it with you to your appointment.
Questions, concerns or comments about our downloadable forms, policies or practices may be emailed to privacy@footandanklecenters.com.
|
