New Patient Information
Welcome New Patients. Our On2Feet Podiatry Team In Lake Mary and Orange City, FL Is Ready To Help You!
New Patient Form
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.
PLEASE DO NOT MAIL THESE FORMS. It may take too long to receive these forms by mail. You may print these forms and bring them with you during your appointment.
What to Bring to Your 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 your doctor. 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
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 contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.