PATIENTS
Patient Forms
Please bring the FOUR PAGE form with you to your appointment
You may also fax the patient registration form to 860-886-4848, prior
Please arrive 15 minutes prior to your appointment with your insurance card and photo ID.
The above link has detailed instructions of what to bring for your first visit.
If you are coming to CT Podiatry & Foot Surgery for a second opinion, please bring prior treatment history, x–rays, MRIs, test results, and clinical notes, pertaining to your condition.
NORWICH, CT
Backus Hospital Medical Building
330 Washington St, Suite 310
Norwich, CT, 06360
1-860-886-4747
Fax: 860-886-4848
TOLLAND, CT
With Mansfield Family Practice
34 Professional Park
Mansfield, CT, 06084
1-860-872-Foot (3668)
Fax: 860-886-4848