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New Patient Information Forms

Our office welcomes new patients. We accept most insurance plans, and we strive to offer convenient appointment times. Next day appointments available in most cases.

Emergency foot problems are also welcome.

Please call (913) 325-2958 or request an appointment online.

Please bring your insurance card. We will need a copy of it for our records. If your insurance plan requires that you have a referral from your primary care doctor, please obtain one before your appointment.

Click on the links below to download the New Patient Forms. Print out and complete the forms at home to save time on your initial visit!

New patient registration forms

Click here to download the Medical Record Update Form.

*You must have an Acrobat Reader to view the Acrobat files. If you don’t already have Adobe Acrobat, you can download the Acrobat Reader Free.

Are you an existing patient? Access your records in our patient portal!

Log in to our Patient Portal for convenient 24/7 access to your health records from the comfort and privacy of your own home!

Kansas City’s Only On-Site Podiatry Surgery Center

Our Ambulatory Surgery Center (ASC) is fully licensed and regulated by the state of Kansas, and our boutique center concentrates on foot surgery only. This allows us to provide the best equipment and a dedicated staff to treat most surgical foot problems we encounter. Our outpatient facility allows our patients shorter facility stays and an environment with less risk for infection.