New Patient Forms
Welcome to Pueblo Ankle and Foot Care. We try to offer convenient appointment times. Please contact our office to schedule an appointment. Please bring your insurance card. We will need a copy of it for our records. If your insurance plan requires that you have a referral from your primary care doctor, please make sure you obtain one before your appointment.
Please print and fill out these forms so we can expedite your first visit:
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
We accept self pay patients with the following forms of payment:
Care Credit – Click to apply for monthly payments
VIEW OUR FINANCIAL POLICY FOR MORE DETAILS ON SEEING OUR FOOT DOCTORS.
Our office accepts a variety of HMOs, PPOs, and other health plans. Please call our office to verify acceptance of your insurance carrier
Blue Cross/Blue Shield of Colorado
HMO of colorado
PC Parkcare plus
Private Health Care Systems (PHCS)
Rocky Mountain HMO
Secure Horizons Centura
Tricare for Life
Other commercial Insurance Companies – Please Call