Patient Information | Ambulatory Foot & Ankle Clinic

Patient InformationNew patients do not need to wait until the day of the appointment to fill out the New Patient Information Form. Patients can print one out at home from our website and bring it into the clinic on the day of the appointment. We will also work with the patient to schedule any follow-up appointments if necessary. Call us to schedule an appointment today.
Request An Appointment

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Email (Required)

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First & Last Name (Required)

Email (Required)

Phone Number (Required)

Select an Option

First & Last Name (Required)

Email (Required)

Phone Number (Required)

Select an Option

New Clients

We will customize treatment to the needs of each individual patient to provide a more efficient level of care.

Payment Methods – Check or Cash Accepted

Downloadable Forms:

New Patient Form

New Patient Health History

Financial Agreement

Our Locations
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Pocatello, ID
Jackson, WY
Thayne, WY
Call Us Today
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Pocatello, ID

(208) 803-0010


Jackson, WY

(307) 414-1064


Thayne, WY

(307) 243-4080
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