Phone:  206 344 3808
Fax:      206 860 0907

Telephone Hours:
Monday—Friday: 
8:00—5:00

Address:
600 Broadway, Suite 220
Seattle, WA  98122

Patient Forms

New Patient Package (pdf)
If you are coming in as a new patient, or if you have not been in for 3 years, please download and complete these forms prior to your appointment.  If you have completed the forms, please arrive 15 minutes prior to your appointment. If you have not completed the forms, please arrive 30 minutes prior to your appointment. 

Orthotic Financial and Insurance Information Forms (pdf)
These forms provide all the information you will need on orthotic insurance and finance issues.   Includes step-by-step questions to determine whether your insurance covers foot orthotic therapy and the percentage of coverage. 

How to Wear Your Orthotics Form (pdf)
If you will be picking up your orthotics soon, read this information before your appointment.  This document provides detailed information on how to best break-in to wearing your orthotic devices.  

Recommended Shoe List
The Foot and Ankle Center prepares a list of recommended shoes several times per year. Don’t go shoe shopping without it. Includes recommended shoes, shoes that work well with orthotics, OTC arch supports, socks, slippers and sandals. Click here to learn how to download the shoe list.

Information Release Form (pdf)
Any physician must have a release from you to send a copy of your records to another doctor.  If you would like your records sent to us, complete this form and send it to the office that has the records you want sent.  If you would like us to send records to another doctor’s office, complete this form and fax it to us at 206-860-0907.   It may take up to 7 business days to prepare and send the information and charges may apply. 

Matrixectomy (nail removal) Post-operative Instructions (pdf)

Wart Excision Post-operative Instructions (pdf)

Pre-operative Instructions for Hospital Surgeries (pdf)

WEBSITE DISCLAIMER
For website errors ONLY email webmaster at WEBMASTER
All pages on this website © 2005-2010
Douglas Hale, DPM & Lawrence Huppin, DPM
Foot and Ankle Center of Washington, Seattle
The material provided on this web site is for informative purposes only.
If you need specific medical advice, please contact the office for an appointment.