Forms + Insurance


NEW PATIENTS- Please take a few moments to print and fill out the patient history forms below.  This will save you time when you come into the office for your scheduled appointment! In addition to this form, don't forget to bring your photo ID and insurance cards.

Patient History Form

If you are a new patient with MEDICARE please fill out this Medicare form below. We recommend Option 1 in section G. If you are unsure please call us with any questions.

Medicare Patient Form

List any new medications, new primary care physicians and your most convenient pharmacy on the patient chart update form below. In addition, please let us know if your insurance has changed. 

Patient Chart Update

What we offer



Flatlands Foot Care
2075 Flatbush Ave

Brooklyn, NY 11234
Phone: 718-412-0293
Fax: 718-951-8606

Office Hours

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