Click on the form’s links below to download a PDF.
You can print and fill out these forms ahead of your appointment to save time at the office.
New Patient Paperwork – Printable PDF
Section 1557 of the ACA – Printable PDF
Self-Pay Policy – Printable PDF
Choose Your Preferred Location
Mentor, OH
Address: 7482 Center Street, Suite 100, Mentor, OH 44060
440-305-7133
Chardon, OH
Address: 325 Center Street, Chardon, OH 44024
440-305-7871
Westlake, OH
Address: 25200 Center Ridge Road, Suite 1100A, Westlake, OH 44145
440-201-4115
Garfield Heights, OH
Address: 12575 Rockside Rd, Garfield Heights, OH 44125
216-245-4844
Services we Offer
Heel Pain
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Achilles Tendon Rupture
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Ankle Fractures
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Ankle Replacement
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Arthritis
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Bunions
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Plantar Fasciitis
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Regenerative Medicine
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Flat Feet
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Sports Injuries
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Sports Medicine
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Foot Fracture
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Stem Cell Therapy
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Foot and Ankle Surgery
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Wound Care
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Ankle Fusion
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Peripheral Nerve Surgery
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Ankle Arthroscopy
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Ankle Ligament Repair
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Limb Deformity Correction
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Limb Salvage
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Charcot Reconstruction
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External Fixation
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Muscle Flaps
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