New York City's Premier Footcare Doctors. Call Now (212) 629-5090

New Patient Forms for Podiatry

Hate to fill out forms in the doctor’s waiting room?

You don’t have to. Our New Patient Forms for Podiatry are available for download. Save time by printing these forms and completing them prior to your first visit.

Being well prepared for your appointment will ensure that we have all the necessary information to provide the best possible care for you. It will also help reduce any unnecessary anxiety you may be feeling. So take some time to review our website, and meet our doctors.

If you already have a copy of Adobe® Acrobat Reader, then you may download the form immediately by clicking on the name of the form below. The PDF file sizes are relatively small and will take only a few minutes to download, depending upon your modem and connection speed. When the file transfer is complete, just click on the filename to launch Acrobat Reader, open the form and print it.

If you do not have a copy of Acrobat Reader, you can get one for free by clicking on the icon ‘Get Adobe® Reader’. This will take you to Adobe’s website and enable you to download the Acrobat program to your computer.

Manhattan Footcare’s Mission Statement

We are dedicated to providing uncompromising excellence in podiatry care to the whole family. Our goal is to educate each patient regarding his or her problem and begin a treatment program that would alleviate his or her discomfort.

To fulfill this mission, we strive to:

  • Listen to those we are privileged to serve
  • Earn the trust and respect of patients and professionals
  • Exceed our patients’ expectations
  • Create challenging and compassionate professional environment
  • Strive for excellence at all levels of care

What to expect during your first visit:

As you fill out your new patient information form, you may be wondering what’s in store for you as a first time patient at Manhattan Footcare.

Your first visit establishes a vital foundation for our relationship with you. During the first visit, we obtain important background information, such as your medical history, and give you time to get to know your doctor. In order to help us get to know you and your condition, please bring the following to your first appointment:

  • Insurance card(s)
  • Referral forms (if required)
  • List of all prescription and over-the-counter medications that you are currently taking
  • Any required co-payment
  • Pertinent medical and surgical history information
  • X-ray films

We look forward to your first visit!

Menu Title