Centers For Foot & Ankle Care


New Patients

Our office welcomes new patients. We accept most insurance plans and offer convenient appointment times.

Emergency foot problems are also welcome.

Please bring your insurance card with you at the time of your appointment, we will need a copy of it for our records. If your insurance plan requires that you have a referral from your primary care doctor, please make sure you obtain one before your appointment.

Click on the links below to access the New Patient Forms. After you click the link, a browser window will open. After it opens, click on the 'PRINT' icon on your Browser. After the form prints, fill it out and bring them into our office. Completing the New Patient Information Form will save you time on your initial visit!

Key Forms

New Patient Registration Form*
Non-Discrimination Notice*
Notice of Privacy Practices*

*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.


Ohio Centers For Foot & Ankle Care