Foot And Ankle Specialists of Central Ohio
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New Patients

Our office welcomes new patients. We accept most insurance plans and offer convenient appointment times.

Emergency foot problems are also welcome.

Please contact our office or use our online Appointment Form to schedule an appointment.

Please bring your insurance card with you at the time of your appointment, we will need a copy of it for our records. If your insurance plan requires that you have a referral from your primary care doctor, please make sure you obtain one before your appointment.

Key Forms

Option 1: Complete the New Patient Forms and Make an Appointment Online

Opion 2: Print the hard copy New Patient Forms

Click on the links below to access the New Patient Forms. After you click the link, a browser window will open. After it opens, click on the 'PRINT' icon on your Browser. After the form prints, fill it out and bring them into our office. Completing the New Patient Information Form will save you time on your initial visit!

Download PDF
Format
New Patient Form*
Notice of Privacy Practices

*You must have an Acrobat Reader to view the Acrobat files. If you don't already have Adobe Acrobat, you can download the Acrobat Reader Free.


   


  
Online Services
Make an Appointment
New Patient Forms

Our Offices
Gahanna Office
426 A Beecher Road
Gahanna, OH 43230

614-939-9330 Phone
614-939-9299 Fax

Newark Office
1950 Tamarack Road
Newark, OH 43055

740-344-8286 Phone
740-522-0094 Fax