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Welcome to the Mid America Foot & Ankle Family

Prior to your first appointment 

Please arrive at least 15 minutes prior to your appointment in order to complete new patient intake forms. We ask that you allow a minimum of 30 minutes for your initial office visit. Please bring the following items with you to your appointment:

  • Current health insurance cards

  • Drivers license or photo ID

  • List of current medications

    • Including prescription, non-prescription and over-the-counter

  • Co-payment

    • We are required to collect co-payment at the time of service

Upon your arrival, our office will enter or update your contact and insurance information. To avoid delays in registering, please contact your health insurance company at least one week before your appointment and ask:

  • If you are in network with our provider: Dr. Shayan Alamgir, DPM

  • If you need a referral from your primary care physician.

    • If a referral is needed, you will need to ask your primary care physician to have it faxed or mailed to our office ahead of time.

  • Please ask them to explain your benefits for a specialist office visit and learn if you have a deductible or not.

New Patient Forms

Intake Form
HIPPA
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