Thank you for allowing us to be involved in your health care.
Here you will find our registration forms that we would like you to fill out as completely as possible. Please return these to the window when you arrive for your appointment. (If there is adequate time, please mail back to the office. It may be necessary to keep a copy for your records)
On the day of your appointment we ask that you bring the following items:
Payment for services rendered is expected at the time of service. Please be prepared to pay any applicable copays and/or deductibles. As a reminder it is your responsibility to know the amount of your copay. For those without insurance we ask that you be prepared to pay at the time of service.
We look forward to meeting you.
- Delta Foot Care Doctors and Staff.
Here you will find our registration forms that we would like you to fill out as completely as possible. Please return these to the window when you arrive for your appointment. (If there is adequate time, please mail back to the office. It may be necessary to keep a copy for your records)
On the day of your appointment we ask that you bring the following items:
- Completed registration forms (available for download below)
- All of your insurance cards
- Valid picture identification
- Appropriate insurance authorization from your primary care provider, if required by your insurance company
- If you are a family member that has Power of Attorney over the patient, please bring supporting documentation
Payment for services rendered is expected at the time of service. Please be prepared to pay any applicable copays and/or deductibles. As a reminder it is your responsibility to know the amount of your copay. For those without insurance we ask that you be prepared to pay at the time of service.
We look forward to meeting you.
- Delta Foot Care Doctors and Staff.
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