Schedule An Appointment

Podiatry | Foot and Ankle Specialists | The Woodlands, TX

First and Last Name

Date of Birth

MM/DD/YYYY

Phone

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Preferred Date (Month and Date)

Time of day you prefer

How did you hear about us?

Nature of Appointment

Please note that this form is for requesting appointments only. Your appointment will be guaranteed, and you will receive a confirmation email or text. Walk-ins are accepted as well. Your insurance will be verified using your photo and insurance card at our office. If your insurance is out of network, we will honor a free consultation (up to $200 value). We will remind you of your appointment and send the clinic address. Please do not submit any protected health information.

Two female healthcare professionals in white coats, smiling and collaborating while reviewing medical records, symbolizing teamwork and dedication in patient care.

New Patient Forms

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.

Please arrive early to complete your initial paperwork.

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 & 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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