During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.


All New Patient Paperwork can be completed either from our online intake form below:

Or by downloading our new patient forms below, filling them out, and bringing it to our office.

pdf podiatry patient form downloadNew Patient Forms – PDF Form For Printing (Complete All 4 Pages)

Additional Patient Forms

pdf podiatry patient form downloadPost-Op Instructions

pdf podiatry patient form downloadPost-Op Toenail Instructions

pdf podiatry patient form downloadNotice of Privacy Practice Acknowledgement

pdf podiatry patient form downloadTreatment Plan for Plantar Fascitis

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

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 office (805) 496-2383. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Group Photo of Advanced Foot & Ankle Medical Center Staff

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