New Patient

Thank you for choosing us to help you. To make your visit productive and quick, we already have our forms available for you to print out and fill. Follow the steps and fill out these forms to ensure a quicker and easier visit. Don’t forget to bring

• A complete list of your current medications
• Your insurance cards
• A picture ID

Step 1: FAMILY FOOT CARE & SURGERY OF RIDGEFIELD NEW PATIENT FORM

Fill out the form below to the best of your ability.

FFCS-Ridgefield-patient-form

Step 2: HIPPA PRIVACY POLICY

Read the HIPPA Privacy Policy document.

HIPPA-FFCS-Ridgefield

Step 3: HIPPA PRIVACY POLICY SIGNATURE

If you agree to the rules in the document, print out and sign the following document.

HIPPA-SIGNATURE

And you are good to go!