Welcome to City Podiatry


  Office : (212) 755-8858

Forms & Insurance

Patient Form

PLEASE NOTE:  There are 2 ways to use these forms.

  1.  Fill out the form in your browser, then PRINT it to your local printer. (this option won’t allow you to save your completed data to your computer)
  2. Down load the form to your computer first, then complete the form and either save it for later, or complete and print it.

Make sure you bring the hard copy to your appointment to save time in the office.

New Patient Form.  Please download, print, and bring with you to your appointment.

Financial Policy Agreement.

Insurance

At City Podiatry, we accept and are in-network with most insurance plans so your out-of-pocket costs are kept to a minimum. In an effort to ensure that our patients have peace of mind, we have an insurance coordinator available to assist you with every aspect of insurance issues, including questions, forms, authorizations, pre-certifications and referrals.