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Your Podiatrist in Hallandale Beach
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Patient Forms and Instructions

Save time and fill out New Patient registration forms before you come in.

Your First Appointment

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Your photo ID and ALL insurance cards
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records
Insurance and Payment Information

Currently we accept patients with the following insurances:








Workers Compensation
  • Aetna (All plans except Marketplace)
  • Cigna (All plans except Marketplace)
  • Medicare (CMS)
  • Oscar Health
  • Solis Health Plans
  • United Health Care
  • Workers' Compensation Cases
  • All major credit cards (VISA/MC/AMEX)

*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.
Privacy Practices

Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients, and a copy is available upon request.
Notice of Privacy Practices *(PDF)

* Adobe Reader plug-in required to view (PDF) forms.
2500 E Hallandale Beach Blvd
SUITE 203
Hallandale Beach, FL 33009
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