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New Patient Forms | Foot Doctor Peoria, IL 61616 and Morton, IL 61550 - Midwest Podiatry

Patient Forms

Please print and fill out the New Patient forms so we can expedite your first visit.
During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances. Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office in Peoria (309) 686-1000or Morton (309) 263-1017. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.