Welcome to Hansen Foot and Ankle. To prepare for your visit we will need a few things.

new patient

Please bring the following:
1. Insurance Card
2. Driver's License
3. Any imaging (X-rays, MRI, CT) or test results pertaining to your condition.

There are two options for providing us with the needed information.

OPTION 1 (prefered): Click the button and walk through the online form. This option will decrease your time in the waiting room and allow us to prepare for your visit well in advance. IF YOU CHOOSE THIS OPTIONS THE FORM MUST BE SUBMITTED MORE THAN 24HRS PRIOR TO YOUR APPOINTMENT TIME.

OPTION 2 (not preferred): Present to your appointment 30 MINUTES EARLY to complete the information and we will provide the forms to you and input the information into our system once you have them completed. If needed please bring a list of your medications (names and dosages) and list of medical illnesses to assist you in completion of forms. Forms to be completed can be referenced below.

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. We accept most insurances.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf podiatry patient form downloadNew Patients

pdf podiatry patient form downloadStatement of Billing

pdf podiatry patient form downloadConsent for Leaving Messages

pdf podiatry patient form downloadConsent to Treat a Minor

pdf podiatry patient form downloadNotice of Privacy Practices

Insurance and Payment Information

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 call our office. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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