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Patient Information

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.

How Would You Like To Submit Your Forms?
Please select one of the options below:

In-Person
When you visit the office for your appointment, simply bring your completed forms with you and one of our staff will do the rest!

Email
You can email us your forms as PDFs. Please scan the completed forms and send them to This email address is being protected from spambots. You need JavaScript enabled to view it..

pdf podiatry patient form downloadNew Patient Forms

pdf podiatry patient form downloadEstablished Patient Forms

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 in Beachwood, Mayfield Village and Mentor (216) 245-1290 or Tallmadge (330) 630-9030. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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