DR. ANTHONY ROSALES DPM

Thank you for choosing Dr. Rosales as your preferred Podiatrist. To expedite your first visit, you may wish to print the forms below and fill them out before you come to our office for your first appointment. This can save you the extra fifteen minutes that we recommend you allow to fill them in at our office. We also have a secure online form you can fill out to enter your info directly into our system and avoid the paperwork entirely.

Fill Out the Forms Securely Online

Print these forms, fill them out, and bring them to your first appointment:

• Patient Information
• Medicare Patient Agreement
• Financial Policies
• Privacy Notice (Read / No Signature Required)
• Privacy Notice Acknowledgement