PATIENT INFORMATION & FORMS

Welcome new patients. Our Palm Beach Podiatry medical team in Boynton Beach & Loxahatchee, FL is ready to help you.

What to Bring to Your Appointment

Please contact our office to schedule an appointment. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know our Podiatrists. We accept most insurances.

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 

Forms for Your Appointment

To save time, you can fill out your form before your scheduled visit.

Click on the button below to download the convenient PDF fillable form to be completed for your visit. Fill out the form in its entirety. Please note: you will need Free Adobe Acrobat Reader or Preview on a Mac to view and type into this form.

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 (561) 734-3100 . Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.