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Download Patient Form

1.) Patient Registration Form
2.) Patient Consent Form Your First Appointment

Please arrive early so that we can complete your initial
paperwork. Also, please bring the following:
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Patient's insurance card
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List of current
prescriptions and/or over-the-counter medication, including dose and
frequency
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Information about
patient's medical and surgical history
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Recent test results,
x-rays, or relevant records
Insurance and Payment
Information
Total Foot Care, LLC is a provider for
Medicare and most major insurance plans, and provides insurance billing. 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
contact us. Questions regarding insurance coverage and benefits should be
directed to your employer or insurance company.
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| Quick Info |
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Total Foot CareLLC
3844 South Lindbergh
Suite 212
St. Louis, MO 63127
Ph: 314-849-8989
Fx: 314-558-7575 |
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