New Patient Forms

Please download, print and complete the New Patient Forms prior to arriving at the office, along with your insurance card.
Be sure to bring a list of any issues that you would like to discuss with your doctor during your visit.
Download New Patient Forms (2 Pages)
Summary Notice of Privacy Practices
Office financial Agreement
Acknowledgement of Receipt

Welcome to the Santa Monica Podiatry Group!

Please plan to arrive early for your first visit. Bring your insurance card, a current mediation list and complete the New Patient Forms you can download from our website. Be sure to write down any issues that you would like to discuss with the doctor during your visit. When needed, payments can be tailored to meet each patient’s individual needs. For your convenience, we accept MasterCard, Visa and Discover. Call today to make your appointment.