If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site
Foot Care Centers is committed to taking extraordinary precautions to prevent the spread of Coronavirus (Covid-19) in order to insure the safety of our patients, doctors and staff. If you are experiencing cold or flu-like symptoms, we request that you call the office and reschedule your appointment. We offer virtual office visits via Face Time or Skype (tele-medicine) for those patients who are unwilling or unable to make their in-office appointments. Thank you.

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.

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

pdf podiatry patient form downloadNew Patient Form

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 call our office in Vineland (856) 691-2152, Elmer (856) 358-8661 or Somers Point (609) 904-5988. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Connect with us