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Town Square Family Foot Care

Coralville, Iowa...call 341-FOOT...877-218-1418 toll free

Document Library

NameDescription
DocumentPAD Fact SheetPAD Brochure
DocumentNotice of Privacy PracticesHIPAA Privacy Policy
Document* New Patient Registration FormNew Patient Information
Document* Insurance Authorization FormConsent to treat, bill, and collect
Document* New Patient SurveyPlease share this valuable information
                                                          * Required at first appointment






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This site is intended for informational purposes only and NOT as a substitute for professional services.
Call 341-FOOT or 877-218-1418 to schedule a private consultation.