Patient Information

Welcome to Prime Foot and Ankle Specialists

What to Bring to Your Appointment

  • Patient's Health Insurance Card(s)

  • Photo ID

  • Primary Care Doctor's name and telephone number

  • Referral From Your Primary Care Doctor (If Required By Your Insurance Carrier)

  • List of current prescriptions and/or over-the-counter medication, including dose and frequency

  • Information about patient's medical and surgical history

  • Any Previous X-Rays, MRIs or Test Results Relating To Any Past Foot Health Conditions

Cancellations

If you are unable to keep an appointment, we ask that you kindly provide us with at least 24 hours notice. We ask for this advance notice so that we can offer this appointment to another patient. A fee may be charged if a patient does not show up for an appointment without sufficient notice.

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,

Health Insurance

 

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. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.