What you should bring to your appointment:
- Your insurance card along with another form of I.D. (i.e. – Driver’s License, State ID card, Military ID)
- X-Rays, MRIs or other pertinent medical records
- Information about prescription medication which you may be taking
- Cash, Checks, Credit Cards (Visa, MasterCard, American Express)
New Patient Forms
We realize filling out paperwork for healthcare in today’s world is no picnic. We have made every effort to minimize the paperwork required for our patients, while also getting the information we need to provide you with the highest quality service possible. In order to make better use of your time at our locations, we have provided you access to our online secure patient portal where you can complete the forms quickly and easily online. However, if you prefer to print the forms and complete prior to arriving at your first appointment, then click the PDF files below.
The forms included in this registration packet enable us to learn about your condition and how it affects your daily life, understand your overall health, track the effectiveness of your rehabilitation, and accurately bill your insurance.
To complete the New Patient Forms securely online:
The following forms are included in the New Patient Forms Packet:
Registration
Financial Policy
HIPAA Consent
Medical Records Release
To fax completed forms please include Fax Form and fax to 720.638.6082.
Fax Form
Cancellation Policy
To avoid charges, please call 24 hours ahead if you need to cancel your appointment.
Methods of Payment
Cash, Checks, Credit Cards (Visa, MasterCard, American Express)
9898 Rosemont Avenue Suite 103, 
(720) 638-6081
info@elitefootandanklecenter.com
