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) --- (Word Format)
  • Survey (PDF) --- (Word Format)
  • Release of Information (PDF) --- (Word format)
  • Post-Op Instructions (PDF) ---
  • (Word format)
  • Post-Op Nail Instructions (PDF) ---
  • (Word format)
  • Low Dye Taping (PDF) ---
  • (Word format)
  • Checklist of Wart Tx Methods (PDF) ---
  • (Word format)
  • Caring For Your Orthotics (PDF) ---
  • (Word format)
  • Privacy Summary (PDF) ---
  • (Word format)
  • Press Release - Diabetic Shoes (PDF) ---
  • (Word format)
  • Order Form For Additional Pair Of Orthotics (PDF) ---
  • (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






































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