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Click here for an important statement on the Coronavirus (COVID-19)

Monday and Thursday patients seen by appointments only.                          Tuesday and Wednesday walk-in hours are temporarily revised: 9:00am - 2:00pm

Please Note: The office will be closed on Thursday June 18, 2020.
We are welcoming Dr. Alla Mikhli to the Ankle & Foot Walk-In Clinic!

Call Today (440) 995-1111

New Patient Forms

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.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf downloadNew Patient Forms

pdf downloadForms For Patients To Call For Benefits

pdf downloadOrthotics Insurance Codes

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

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 (440) 995-1111. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Instructions
For your convenience, you can print instruction forms that might be part of your treatment.

pdf downloadIcing Instructions

pdf downloadSoaking Instructions for Foot Infection

pdf downloadPost Operative Care Following Toenail Procedure

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