Our practice is working together to realize a shared vision of uncompromising excellence in podiatric care.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Please print and fill out these forms so we can expedite your first visit:
- New Patient Welcome
- MFAS New Patient Forms
- MFAS Credit and Payment Form
- MFAS HIPAA Acknowledgment Consent
- Consent to Treatment of Minor Form
- PAD Exam for Patients over the age of 50
- Patient Pharmacy Information Form
- Notice of Privacy
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
GET IN TOUCH
7243 Chase Rd.
Dearborn, MI 48126
Monday - Friday: 9am - 5pm