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.

- English

pdf podiatry patient form downloadNew Patients

pdf podiatry patient form downloadPatient Intake Questionnaire

pdf podiatry patient form downloadNotice of Privacy Policy

pdf podiatry patient form downloadNo Show Fee Policy

pdf podiatry patient form downloadFinancial Policy

pdf podiatry patient form downloadPrivacy Policy

- Español

pdf podiatry patient form downloadNuevas pacientes

pdf podiatry patient form downloadPatient Intake Questionnaire

pdf podiatry patient form downloadAviso de Política de Privacidad

pdf podiatry patient form downloadPolítica de cargo por no presentarse

pdf podiatry patient form downloadFormulario de Responsabilidad Financiera del Paciente

pdf podiatry patient form downloadConsentimiento Para el Tratamiento

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. It is recommended to call and verify coverage as insurance specifics change often.

We accept the insurances listed below:

  • Aetna - all commercial plans
  • Align
  • Ambetter
  • Amerihealth
  • Blue Cross Blue Shield - PPO's Only
  • Champ VA
  • Cigna - all plans
  • Healthsun
  • Humana - Commercial PPO Only
  • Medicare Part B
  • MultiPlan
  • Oscar Health Care
  • Solis Health Care
  • Tri-Care
  • United Health Care (excluding Medicaid)

Hospital and Facility Affiliations:

umiaUniversity of Miami Hospital

1400 NW 12th Ave
Miami, FL 33136

mercyHCA FLORIDA Mercy Hospital

3663 S Miami Ave
Miami, FL 33133

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