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 podiatry patient form downloadNew Patient Forms

pdf podiatry patient form downloadConditions Form

pdf podiatry patient form downloadNotice of Privacy Practices

pdf podiatry patient form downloadDo I Need a Test for PAD? / Spanish Version

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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Please note that this form is for requesting appointments only. Availability will vary and someone from our office will call you to confirm your appointment request. Please do not submit any Protected Health Information.

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Location

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Advanced Podiatric Procedures & Services in the Broward County, FL: Hallandale (Hollywood, Dania Beach, West Park, Fort Lauderdale, Davie) and Miami-Dade County, FL: Aventura, Sunny Isles Beach, Oju, North Miami, Golden Beach, Bal Harbour, Opa-locka, Surfside areas