Patient Information



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. Download 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

Financial Policy Agreement




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.


We Can Accommodate Your Urgent Foot Care Needs!

Offering fast and convenient access for an exceptional patient experience. If you are experiencing a foot or ankle emergency, please visit us today.




City Podiatry
57 West 57th Street, Suite 1201

New York, NY 10019
Phone: 212-755-8858
Fax: 212-755-3676

Office Hours

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