new patientsDuring 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 complete the forms, print, sign and bring with you at the time of your visit.

pdf podiatry patient form downloadPatient Information

pdf podiatry patient form downloadPrivacy Practices

Please bring the following:

  • Photo ID
  • 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 in Northampton (610) 262-3417 or Allentown (610) 965-2496. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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