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Simpsonville (864) 399-9070
Clinton (864) 833-9274

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New Patient Forms

We are so happy that you are interested in Upstate Podiatry Group! This page will help prepare you for your first visit and will ensure that the doctor has all of the needed information to guarantee that you receive the best possible care. Being prepared for your initial appointment will help to relieve any unnecessary anxiety you may be feeling.

On this page, we have also included patient registration forms that you can complete online and submit for your first visit. These forms will help us to obtain background information, medical history and any specific treatments you are seeking. Please arrive 30 minutes prior to your initial visit to complete the form and to ensure that we have plenty of time to prepare for your visit with your physician.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf podiatry patient form downloadNew Patients

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our Simpsonville office at (864) 399-9070 or Clinton office at (864) 833-9274. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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