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New Patient Forms

Information for New Podiatry Patients

Rorick Podiatry PC, Podiatrist, Foot Doctor in the New York Mills, Utica, NY 13417 area, Information for New PatientsDuring the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf downloadNew Patients

Before Going to Foot Doctor:

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office (315) 736-8637 in New York Mills, Utica, NY . Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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Fellow of the American College of Foor and Ankle Surgeons