Podiatry Foot and Ankle Surgical Group of South Florida

Patient Forms

Patient Forms | Your First Appointment Insurance and Payment Information | Privacy Practices

Patient Forms

You may print out any of the forms and fill them out by hand, or, fill them out directly on your computer, then print them out and either fax back to our offices at 305-557-3810 or scan them and e-mail them to us at doctorinhialeah@aol.com.

If you have any questions call us at 305-558-0444 or e-mail your questions to doctorinhialeah@aol.com. We moniter that e-mail address all day.

[PDF Help]

Patient Exam Your First Appointment

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

Insurance and Payment Information

Podiatry Foot and Ankle Surgical Group of South Forida is a preferred providers for and accepts all insurance plans offered in South Florida, including but not limited to Cigna, Aetna, Av-Med, Workers' Comp, Medicare, and Medicaid and provide insurance billing. 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 contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Privacy Practices

Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients, and a copy is available upon request.

Virtual Office Visit

Now offering Virtual Office Visits


Workers Compensation information
Workers Comp

Blue Cross Blue Shield

*We are Preferred Providers for and accept all insurance plans offered in South Florida, including but not limited to Cigna, Aetna, Av-Med, Workers' Comp, Medicare, Medicaid, etc.