PATIENT RESOURCES
Welcome, Patient!
Easily Manage Your Visit Online
- Request An Appointment
- Complete Forms For Your Visit
- Pay Your Bill /Access Records
- Patient Educational Information
All before your visit. New patients can fill out patient information, medical history, and insurance details, while existing patients can update their information.
After you request an appointment, our staff will confirm the details. Filling out your forms in advance helps us focus on your care. If you need help, we’re here for you!
start-to-finish
We'll take care of everything
PRIOR TO YOUR VISIT
To Get Started: Please fill out the following forms
Step 1 – Patient Information & Financial Responsibility
Step 2 – Medical History
Complete Step 1 & 2 · For Your Upcoming Appointment
STEP 1 - Required for Visit
PATIENT INFORMATION & FINANCIAL RESPONSIBILITY
Please take the time to fill out your patient forms before arriving. It takes a few minutes and allows us to have everything ready to go for your visit.
Please proceed to Step 2 – Medical History
We look forward to seeing you soon!
(Required for Visit)
STEP 2 - Required for Visit
MEDICAL HISTORY
Please take fill out the second set of patient forms for your visit.
Medical history both family and your current history, helps us better understand your health background and tailor treatments to meet your needs. Simply complete the form below and submit.
Remember to Fill Out your Patient Information & Financial Responsibility Forms in Step 1
(Required for Visit)
Peoria Foot And Ankle
Medical Records Release Request Form
We are committed to ensuring the confidentiality and security of your medical records. To facilitate the request of your records, please complete the following.
Peoria Foot And Ankle
Patient Education
Set up your patient portal today. It’s easy and fast. Your health records available at your fingertips.
Online Bill Pay / Records
Patient Portal
Please provide a concise description of this downloadable resource that clearly outlines its purpose and key features. Login to pay online.
Are you ready for your appointment
Checklist Reminder For your Upcoming Visit
1
Patient Information & Financial Responsibility Forms Submitted
You should have received a message when you submitted this form. This is the confirmation that we are getting everything ready for your visit.
2
Medical History Forms Submitted
This was the second set of forms needed for your visit. You will also have a confirmation message once submitted.
3
Remember To Bring your ID & Insurance Card to your Appointment
We look forward to seeing your soon!