Welcome to Park Avenue Podiatry Center in Manhattan.
Please print and fill out this form.
WELCOME NEW PATIENTS! PLEASE PRINT AND FILL OUT THIS FORM, SO WE CAN EXPEDITE YOUR FIRST VISIT.
NEW PATIENT PAPERWORK
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INSURANCES: Our office works with all insurances, participating in United Healthcare, Oxford, Cigna, Blue Cross/Blue Shield, Medicare, Medicaid HMOs like Healthfirst, Fidelis, GHI, Aetna and many other insurances. .
Please check with your insurer on your policy.
Many insurances do not pay all of your visit costs. For questions on your insurance, please call the toll free number on the back of your insurance card to determine your benefits.
Credit card numbers are required to book an appointment. Cancellation and rescheduling requires a 24 hour notice. A fee will be charged for no-shows or same day cancellations.
If your treatment is not covered by insurance, please refer to the fees* below as a guideline:
Initial Visit $275
Medical Pedicure $175-250
Custom Orthotics $650
Routine Visit $120
JUVÉDERM Filler $1000
Botox $2500 per foot
*Subject to change