Call CT Podiatry at 1-860-886-4747 or 1-860-872-3668

PATIENTS

Patient Forms

Please print and fill out these forms so we can expedite your first visit:

New Patient Registration Form

WE NEED TO RECEIVE THIS FORM IN ORDER TO CONFIRM YOUR APPOINTMENT

To confirm you appointment please bring the form with you to your appointment OR fax the patient registration form to 860-886-4848

Please arrive 15 minutes prior to your appointment with your insurance card and photo ID.

According to insurance regulations, co–payments are due at the time of your appointment.

If you are coming to CT Podiatry & Foot Surgery for a second opinion, please bring prior treatment history, x–rays, MRIs, test results, and clinical notes, pertaining to your condition.