Become a New Patient

Becoming a patient couldn’t be easier at Sims & Associates Podiatry with our ‘new patient’ online workflow. It’s easy, fast and will get you in to see the doctor as quickly as possible. Follow the workflow below to fast-track yourself into our system and get your appointment booked in no time at all. After submitting your request, one of our dedicated team members will get back to you to confirm your appointment details and answer any questions you may have. Quick, easy and convenient.

New Patient Workflow

Name

First Name

Last Name

Phone

(###)

###

####

Email

Date of Birth

MM

DD

YYYY

Sex

What Type Of Appointment Would You Like?

If first available appointment is selected please skip to disclaimer.

First Available Appointment (no preference of doctor or office)

Choose The Office and/or Doctor

Select Doctor

Please note, not all of our doctors see patients in all offices. We will try our best to accommodate your request for doctor and office.

Select Office

Please note, not all of our doctors see patients in all offices. We will try our best to accommodate your request for doctor and office.

Preferred Date of Appointment

Please leave blank if first available was selected above.

MM

DD

YYYY

Preferred Time

No selection needed if first available was selected above.

How Did You Hear About Sims & Assocaites Podiatry?

Disclaimer

Sims & Associates Podiatry welcomes the ability to communicate with our patients via this electronic form. By law, we have the responsibility to remind you that this form may not be the most secure method of communications. Please do not include any Protected Health Information (PHI) in this form. Sims & Associates Podiatry assumes that you understand the risks of using online forms and are so comfortable with using it as a means of communications with our doctors and/or staff should you choose to proceed.

I have read and I agree with the above disclaimer about electronic form communications with Sims & Associates Podiatry.

Online New Patient Intake Form

As a new patient to Sims & Associates Podiatry, there are several forms that we need filled out with your information and signed. For your convenience, we now have a secure, online intake form that allows you to quickly and easily fill out the forms and submit them online. This saves you from having to take this extra time filling out paperwork at our office before your appointment. In order to access our online intake forms, you will need an access code that we will supply to you once we call and confirm your first appointment. Once you have an authorization code you can login to the forms page and submit your information prior to your appointment.

New Patient Intake Form

If you’re not comfortable filling out forms online or prefer to fill them out and bring them with you, rest assured you can still do so. Download our ‘New Patient Packet’, print the forms, fill them out and sign them in the comfort of your home at your leisure and bring them with you to your first appointment.

New Patients

Become a New Patient

New Patient Workflow

Thank You!

Online New Patient Intake Form