New Patient Packet Forms
If you have any questions regarding our Patient Forms please call us at (630) 834-3668.
Also note: To be sure all new patients have enough time to be fully examined and to allow discussion on any concerns, new patient appointments are scheduled for 20 minutes. There are some cases when the appointment may be finished sooner, but that allows plenty of patient care at your first visit. After checking in at the front desk, the medical assistant will escort you to the treatment room and review your medical history and get a description of your concerns. The doctor will then examine your foot/ankle and if necessary order the MA to get X-Rays. After full examination, the doctor will discuss your condition and treatment plan to get you back on your feet!
- Page 1
School Sport Injury Claim Form to be completed prior to being seen by a physician at Prairie Path Foot & Ankle Clinic for a school sport related injury.
Worker's Compensation Form Worker's Compensation Form to be filled out prior to being seen by a physician at Prairie Path Foot & Ankle Clinic
Request for Second Opinion Patient Form Request for Second Opinion Form - Prairie Path Foot & Ankle Clinic