6734 Lankershim Blvd
North Hollywood, CA 91606

New Patients

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 forms so we can expedite your first visit.

pdf podiatry patient form downloadPatient Information Form

pdf podiatry patient form downloadPatient Medical History

pdf podiatry patient form downloadNotice of Privacy Practices

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 (818) 762-1270. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Connect With Us