Skip the clipboard! Streamline your check-in process and take the hassle out of waiting room paperwork by simply clicking the link below to complete a new patient registration request. Once your appointment is confirmed either fill out the online paperwork and submit it or print and complete our new patient paperwork to expedite your first visit!

pdf podiatry patient form downloadNew Patients

pdf podiatry patient form downloadFinancial Policy

pdf podiatry patient form downloadHIPAA Privacy Practices

What to bring with you for your appointment:

  • Current insurance card (including secondary policy if applicable)
  • New Patient Paperwork
  • Name of your Primary Care Physician
  • List of all current medications and/or over-the-counter medication, including dose and frequency
  • Pharmacy Name and phone number
  • Recent x-rays or MRI, relevant records, if applicable

Insurance and Payment Information

Madison Foot Clinic is committed to providing the highest quality care for our patients while keeping your costs affordable. We accept most major insurance plans as well as HSA, Flex spending accounts, CareCredit®, and prompt pay pricing for clinic treatment and surgical treatment. We are currently not accepting Medicare, Medicare Advantage Plans, or Medicaid.

If you are uncertain about our network status or referral requirements, we recommend you contact your insurance company directly using the number listed on the back of your insurance card to confirm network status to determine specialist benefits. Still have questions about cost or coverage? Call our office at (601) 605-8770. We are here to help!

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