Peninsula Podiatry Patient Forms

New Patient Intake Form for Peninsula Podiatry – (PDF)
Peninsula Podiatry Welcome Flyer- (DOC)
Peninsula Podiatry HIPAA Policy and Privacy Information- (PDF)
Click on the link to open the file in a browser window.
Save a form to your computer:
Right Click > Save Link-Target As
Please print and fill out prior to your first visit.

Foot Conditions We Treat

  • Heel Pain
  • Bunions
  • Joint Pain
  • Ingrown Toe Nails
  • Burning in Feet
  • Tingling/Sharp Foot Pain
  • Shooting/Electrical Foot Pain
  • Achy/Throbbing Pain
  • Foot Swelling
  • Thick or Deformed Toe Nails
  • Lumps and Bumps
  • Difficulty in Walking
  • Frequent Falls
  • Skin Growth
  • Rash
  • Itchy Toes/Feet
  • General Diabetic Foot Care

Insurances Accepted

  • Medicare
  • BCBS Regence/FEP
  • Premera
  • Lifewise
  • Aetna
  • GEHA
  • United Healthcare/AARP
  • First Choice Health Network
  • United of Omaha
  • HMA
  • USAA
  • Mutual of Omaha
  • Shasta Administrative Services
  • Sound Health and Wellness
  • Port Gamble S'Kallam
  • TPSC- Trusted Place Service
2024 All Rights Reserved.
linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram