PATIENT INFORMATION & FORMS

Welcome New Patients. Our Dewitt Foot & Ankle Medical Clinic Podiatry Team In Dewitt IA, Is Ready To Help You.

What to Bring to Your Appointment

Welcome to Dewitt Foot & Ankle Medical Clinic

We are so happy you chose our clinic for your podiatric and medical needs!

What to bring to your appointment

  • Primary Care Doctor's name and telephone number

  • List of current prescriptions and/or over-the-counter medication, including dose and frequency

  • Information about patient's medical and surgical history

  • Any Previous X-Rays, MRIs or Test Results Relating To Any Past Foot Health Conditions

Insurance

We provide a bill that can be submitted to your own insurance carrier. We do not bill insurance directly.

Cancellations

Scheduling and Cancellations: Please call our office to schedule an appointment. If you are unable to make your appointment, please notify us 24 hours in advance.

Forms for Your Appointment

To save time , you can fill out your form before your scheduled visit.

Click on the button below to download the convenient PDF fillable form to be completed for your visit. Please note: you will need Free Adobe Acrobat Reader or Preview on a Mac to view and type into this form.