Forms

All the forms you need before your visit.

Below are links to all necessary paperwork. To ease your check in process at the office please download, print, and complete your paperwork prior to your visit to Westside Podiatry Group.

Please make sure you use the correct form for the doctor you’re visiting. If you need assistance please call our office and out secretaries will assist you.

Forms for Doctor Ronald Freeling

Includes New Patient History, Patient Info, Financial Policy, and Privacy Policy Forms.
These forms are for inital patient visits. If it is your first time at Westside Podiatry or it has been over ten years since you have been to the office please print and fill out these form prior to your visit.

Forms for Doctor Dan Tellem

Includes New Patient History, Patient Info, Financial Policy, and Privacy Policy Forms.
These forms are for inital patient visits. If it is your first time at Westside Podiatry or it has been over ten years since you have been to the office please print and fill out these form prior to your visit.

Forms for Doctor Caiola

Includes New Patient History, Patient Info, Financial Policy, and Privacy Policy Forms.
These forms are for inital patient visits. If it is your first time at Westside Podiatry or it has been over ten years since you have been to the office please print and fill out these form prior to your visit.

Forms for Doctor Hallahan

Includes New Patient History, Patient Info, Financial Policy, and Privacy Policy Forms.
These forms are for inital patient visits. If it is your first time at Westside Podiatry or it has been over ten years since you have been to the office please print and fill out these form prior to your visit.

Forms for General Use

Patient Info Update
This form is for patients who have been to Westside Podiatry before. However if it has been over a year since your last visit, please print out and fill out this form prior to your visit.
Financial Policy
Please review the financial policy of Westside podiatry prior to your visit. Please print and sign it or you may sign it in the office prior to treatment.
Privacy Policy
Please review and understand the HIPAA privacy regualtions mandated on all medical professions.
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