Patient Forms
New Patient Form – Download & Print Form
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Thank you for choosing us. We take pride in helping with all of your foot care needs.
Please bring any X-Rays, MRI’s, records or Orthotics with you to your appointment.
We ask that you arrive 10 minutes early to your appointment time to fill out the New Patient Paperwork or fill them out in advance.
Thank you
Insurance
We accept most insurance plans. This list is subject to change. Please call the office if you have questions regarding any insurance.
It is important to note any copayments, deductibles, or fees for service not covered by insurances will need to be paid at the time of your office visit.
WE ARE NOT IN NETWORK WITH LIFEPRINT OR BANNER PLANS
Active in network plans:
- AARP – PPO plans only. OPTUM IS NOT IN NETWORK
- AETNA – HMO, PPO, MEDICARE HMO & PPO, SIGNATURE ADMIN.
Anthem Blue Cross - BLUE CROSS BLUE SHIELD – ALLIANCE, ACCLAIM & ADVANTAGE PLANS ARE NOT IN NETWORK
- CIGNA – HMO, PPO, OPEN ACCESS & OPEN ACCESS +, Choice Fund PPO, OAP Network/Cigna Access COVENTRY – AETNA PLAN GEHA GOLDEN RULE/ UHC – CHOICE +, COMPASS AND +, NAVIGATE +
- MEDICARE – RAILROAD NOT ACCEPTED
- UNITED HEALTH – SELECT AND SELECT +, HERITAGE, NAVIGATE PLUS AND BALANCE HMO, OPTIONS PPO, PASSPORT CONNECT, CHOICE AND CHOICE + = REQUIRE REFERRALS
- WORKMAN’S COMPENSATION
- AHCCCS – Arizona Complete