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Registration Forms

Welcome to our practice! In order to serve you quickly and efficiently please follow the instructions below:

1) Schedule an appointment.

2) Click on the links to the 4 forms below.

3) Print each form.

4) Fill out forms to the best of your ability.

5) Bring the completed forms to your appointment.

 

Podiatric History/Medical History Form

Personal Information Form

Appointment Policy Form

Communication Consent Form (HIPAA)

 

If you are unable to print these forms please contact us at 610-434-7000.


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Allentown Family Foot Care, a Preferred Foot
and Ankle Specialist of the Lehigh Valley Iron Pigs,
Triple-A Affiliate of the Philadelphia Phillies.