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PATIENT INFORMATION

Completed Paperwork


Medication List (We will be happy to photocopy it for your file)


Photo ID


Insurance Card


Parent or Guardian if you are under 18-years of age (or a completed consent form available on our website)

WHAT TO BRING TO YOUR APPOINTMENT:

WELCOME TO EAST POINT!

We are happy to have you join our office as a new patient. Thank you for choosing us for your foot and ankle needs. We understand there are many choices and we greatly appreciate your business.

We ask that you please take a minute to review and complete your new patient paperwork ahead of time. Please do not arrive at your scheduled time without paperwork completed. If you do not bring completed paperwork to your first appointment you are expected to arrive 15 minutes early.

Podiatry

HEALTH INSURANCES WE CURRENTLY ACCEPT:Podiatry

Medicare
Aetna
Coventry
First Health
Allways Health Partners/Mass General Brigham's
Cigna
Health New England
UHC
Harvard Pilgrim
Tricare
Tufts
Multiplan/PHCS

 

We also offer a self pay fee schedule for patients with insurance we do not accept. Please contact our office for more information!
 

DON'T SEE YOUR HEALTH INSURANCE PROVIDER LISTED ABOVE? CONTACT US TO FIND OUT IF WE CAN WORK WITH YOUR PLAN.

250 NORTH MAIN STREET, STE 102
 

EAST LONGMEADOW, MASS. 01028

OFFICE: 413.525.5200

FAX: 413.525.5700

LEARN A BIT MORE ABOUT OUR PRACTICE HERE.

HAVE MORE QUESTIONS?

250 NORTH MAIN STREET, STE 102
 

EAST LONGMEADOW, MASS. 01028

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OFFICE: 413.525.5200

 

FAX: 413.525.5700

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EAST POINT FOOT & ANKLE IS CERTIFIED FOR PRACTICE BY BOTH THE AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS AND THE AMERICAN BOARD OF PODIATRIC MEDICINE.

COPYRIGHT © EAST POINT FOOT & ANKLE, P.C. 2020

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