Prefer using paper instead of digital?

Click the buttons below to download and print of your new patient paperwork, and complete by hand prior to your visit.

Submit Paperwork Digitally Online

OFFICE POLICY AND SIGN OFF
I certify that the above information is correct to the best of my knowledge. I understand that providing incorrect information can be dangerous to my health. I understand that it is my responsibility to inform the doctor and office staff of any changes in my medical status. I will not hold my doctor or any member of his/her staff responsible for any errors or omissions that I may have made in the completion of this form.*
By checking the box below, I agree to KC Podiatry's Financial Policy and Release of Info.
- I agree to the terms and conditions.
Name*
First Last
Today's Date*
MM slash DD slash YYYY