patient forms
It is always our goal at Easy Walk Foot Clinic to give you the medical care you deserve in a timely manner. In order to ensure that your first visit goes smoothly, you may want to complete the forms below prior to your visit. You can even fax us your forms or drop them off prior to your appointment to speed up your first visit.

Fill out the form below, after you have made an appointment. 

New Patient Cover

Read the introduction/responsibility and fill out the form below if you are an assisted living facility, nursing home, personal care home, group home, etc.

Patient Responsibility
Facility Patients

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