New Patients

Welcome to Wilmette Foot and Ankle Clinic - New Patient Forms

Your first visit to the Wilmette Foot and Ankle Clinic establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, your medical history, and give you time to get to know your doctor. To understand what to expect your first visit to our practice, please read through this page. You will find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There is also background information about our committed staff and our first visit procedures. You can save some time at your first visit by printing out and completing the patient forms, found below, in advance of your appointment.

Mission Statement

Our practice is working together to realize a shared vision of uncompromising excellence in your podiatric care.

To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of our patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.

Patient Forms

Please "type" information [ON LINE] and then print and bring these forms so we can expedite your first visit:

[please note : these forms cannot be sent through internet {HIPAA Privacy rules}-please print and bring to visit]

[if you prefer you can also print the pages and fill out by pen]

CLICK LINK BELOW TO PRINT PATIENT FORMS :

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

Or Click The QR Code To Fill Forms Online

Qr Code

What to expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

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