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Podiatry | Foot and Ankle Specialists | The Woodlands, TX

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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. If you would like to talk to one our teammates call us at 936-273-6000. 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 at our podiatrist office in The Woodlands and send the clinic address. Please do not submit any protected health information.

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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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

Please print and fill out the New Patient forms so we can expedite your first visit.

New Patient (English)

Option #1
Select Link to Download and Complete (English)

Option #2 Scan code or click code and complete online.

New Patient (Español)

Option #1
Select Link to Download and Complete (Español)

Option #2 Scan code or click code and complete online.

HIPAA Authorization for Release of Information Form

To transfer your medical records, please click the download button below to complete the HIPAA Authorization for Release of Information Form. This form allows us to release your health information to the designated recipient, in compliance with federal privacy laws. Your information will be securely protected and shared. If you have any questions or need assistance, please contact our office.

Download & Complete