Foot Doctor Sammamish, WA
142 John Robert Thomas Drive
Exton, PA 19341
610-524-3338
Patient Forms
By clicking on these links you will be able to view and print our helpful forms.
You will need Adobe Acrobat to view these forms. Get a free copy by
clicking here
Welcome Form (PDF)
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(Word Format)
Survey (PDF)
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(Word Format)
Release of Information (PDF)
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(Word format)
Post-Op Instructions (PDF)
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(Word format)
Post-Op Nail Instructions (PDF)
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(Word format)
Low Dye Taping (PDF)
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(Word format)
Checklist of Wart Tx Methods (PDF)
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(Word format)
Caring For Your Orthotics (PDF)
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(Word format)
Privacy Summary (PDF)
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(Word format)
Press Release - Diabetic Shoes (PDF)
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(Word format)
Order Form For Additional Pair Of Orthotics (PDF)
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(Word format)
You can print out and either mail or walk-in these forms to our office at:
466 228th Avenue NE, Sammamish, WA 98074
Copyright © 2008
Officite