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    Podiatrists:
       Douglas S. Stacey, D.P.M.
       Gerald W. Torgesen, D.P.M.
       Philip J. Larsen, D.P.M.

 

Information and Forms for New Patients  

NEW PATIENTS

We are always excited to accept new patients. You are welcome to fill out the new patient forms when you come in. Or, if you prefer, you may click on the links below to fill in the forms on-line and send them, or to print the forms, so you may fill them out before you come in.

FORMS

The document below includes the following forms:

  • Medical History
  • Patient and Insurance Information
  • Patient Privacy Acknowledgement
  • Office Policies
  • PDF

    PDF

     
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