Our new office is located at: 2332 Cumberland Square Drive, Bettendorf, IA 52722

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

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

pdf podiatry patient form downloadItems to Bring to Appointment

pdf podiatry patient form downloadNew Patient Information Forms

pdf podiatry patient form downloadRelease of Medical Records

pdf podiatry patient form downloadFinancial Policy

pdf podiatry patient form downloadNotice of Privacy Practices

pdf podiatry patient form downloadPlantar Fascia Stretches

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

  • Patient's insurance card
  • Photo ID
  • 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 office. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Connect With Us

Advanced Podiatric Procedures & Services in the Bettendorf, IA 52722, Rock Island, IL 61201 and DeWitt, IA 52742 areas