Newport News Podiatrist | Newport News Forms | VA | American Foot & Ankle Center |

American Foot & Ankle Center

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705 Mobjack Place, Suite B  Newport News, VA 23606

 Andrew C. Straley, DPM

757-873-2101

Forms
 
 

Thank you choosing American Foot & Ankle Center for your foot care needs.  For your convenience our New Patient forms are now available for download.  Please move your mouse cursor over the "Forms" pull down menu and click on each individual form to be downloaded.   It is necessary that you print all the New Patient Forms and complete them before your visit in order to expedite the check-in process.    

Please note that all our forms are in PDF format.  If you do not have a PFD reader you can download a free copy by visiting http://get.adobe.com/reader/.

Before you arrive, collect your medical records and imaging results, such as MRI films or x-rays. If you are not sure where these are, please contact your referring physician.

 Bring to your first appointment:  

  • v  Completed new patient registration forms
  • v  Driver’s license or other photo identification
  • v  Insurance card or workers comp/auto claim #
  • v  Medical records, imaging results (MRI films)
  • v  A list of any medications you are taking
  • v  Any co-pay per your insurance plan, unless prior arrangements are made.

 

Please call or email our office if you have any questions regarding our forms.   We welcome you as a new patient and look forward to meeting you.

 

 
 
Newport News Podiatrist American Foot & Ankle Center is a certified Podiatrist specializing in Forms, orthopedic, pain, diabetes, bunions and much more in Newport News, VA. We also do Achilles Tendonitis (Heel Pain), Allergic Contact Dermatitis , Athlete's Foot, Brachymetatarsia, Bunions, Calluses, Tendonitis, Toe Deformities, Xerosis, Taylor's Bunion, Tarsal Tunnel Syndrome, Sprains/Strains, Sesamoiditis, Running Injuries, Rheumatoid Arthritis, Posterior Tibial Dysfunction, Plantar Fasciitis (Heel Pain), Plantar Warts, Pediatric Foot Care, Osteoarthritis, Onychomycosis (Toe Nail Fungus), Morton's Neuroma, Metatarsalgia, Ingrown Toenails, Injuries, Infections, Heel Pain/Fasciitis, Hammertoes, Hallux Rigidus, Haglund's Deformity, Ganglions, Flatfoot (Fallen Arches), Diabetic Foot Care and all work related in the 23606 area and surrounding areas in Newport News