Thank you for choosing Foot & Ankle Premier Specialists. During your first visit, please arrive early to complete initial paperwork or print and fill out the forms below so that we can expedite your first visit.
HIPAA RIGHT OF ACCESS FORM FOR FAMILY MEMBER
To help us enhance your quality of care, please bring important medical information to help us optimize your visit:
- Patient’s insurance card
- Medical and surgical history
- Prescription medication list and/or over-the-counter list
- Previous doctor(s) notes
- Blood work
- Biopsy reports
- Recent Xray, MRI, Ultrasound report
Insurance and Payment Information
You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our Hoboken office. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.