PDFNotice of Privacy Practices

Click here to download the New Patient form

Copyright © 2015
Dubuque Podiatry, P.C.

New patients are welcome. All new patients are asked to complete the medical history and patient registration forms, and must present their insurance card(s) upon their first visit with our office. It is also the patient’s responsibility to bring their referral, if required, with them to our office.

We ask that all patients arrive a minimum of 15 minutes prior to their scheduled appointment in order to complete the registration process. Patients who have already completed the registration forms (by accessing them through our web site or by picking them up at our office) need only arrive 10 minutes prior to their scheduled appointment time. Returning patients do not have to complete the patient information forms if they have been seen within the last six months and completed the process within that time.

Our patient registration forms are interactive. Please TYPE your information into the fields on the new patient form then PRINT the forms and bring them with you on your visit. If you prefer, you can also just PRINT the forms, FILL THEM OUT and bring them with you.

*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. (http://www.adobe.com/products/reader/)