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New Patient Forms

valley foot & ankle specialty providers front office

Visiting us soon? Please download our new patient packet to fill out and bring with you to your appointment.

The privacy notice and financial policy is for you to keep.

Please arrive 15 minutes prior to your appointment and bring your insurance card, photo ID and list of current medications.

Please bring this packet with you to your appointment.

As a courtesy to other patients, please provide a 24-hour notice for cancelling appointments.

Download and Print:

For Doctors Offices 

Are you a referring doctors office? 

Valley Foot and Ankle Specialty Providers makes referring a patient to us easy! We welcome the opportunity to collaborate on caring for your patients and our team is dedicated to providing the best possible experience for our new patients. Please fax the following items to 559-436-4821

When contacting us to schedule your patients, please have the following information readily available:

  • Patient demographic information

  • Referral form 

  • Reason for visit

  • Most recent notes, labs or imaging 

  • Patient insurance information

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