Forms

New Patient Forms

1. Demographics and History

2. Health Information Privacy Statement (HIPAA)

Other Forms and Instructions

1. Diabetic Shoe Bill (Medicare)

2. Diabetic Shoe Certification Statement

3. Diabetes Foot Facts

4. Exercises for Plantar Fasciitis

5. Orthotic Break-In Instructions

6. Pre Operative Surgery Instructions

7. Post Operative Surgery Instructions

8. Post Operative Toenail Procedure Instructions (English)

9. Post Operative Toenail Procedure Instructions (Spanish)

10. Routine Foot Care Guidelines (Medicare)

Links

Hospitals

1. Johns Community Hospital and Health Center

2. Oakwood Surgery Center

3. Scott & White Round Rock Hospital

4. Seton Hospital-Southwest

5. Seton Hospital-Williamson County Hospital

6. St. David's Georgetown Hospital

7. St. David's Round Rock Medical Center

8. Westlake Hospital

Professional Memberships

Business Referrals