Patient forms

Let’s Get You Prepared for Your Consultation

One form, filled in before you arrive, so your appointment is spent on you rather than on paperwork.

To help make your visit smooth and stress-free, we’ve provided the Neuropathy Consultation Patient Form for you to download and complete ahead of time. Filling this out before your appointment ensures you have plenty of time to share your health history and helps us prepare the best experience for you.

If you’re unable to complete the form in advance, no worries. Please arrive 30 minutes before your scheduled appointment so you’ll have enough time to complete the necessary paperwork in our office.

We’re here to make your first visit easy, comfortable, and welcoming. We look forward to seeing you soon!

Can’t fill it in beforehand? Please arrive 30 minutes early and we’ll get you set up in the office.

Before you arrive

Questions About Your First Visit?

Send us a note and we’ll make sure you know exactly what to expect.

Call (904) 217-0542 Get Directions

No Drugs • No Injections • No Surgery

We believe everyone deserves access to real relief. Flexible financing options, including Affirm and CareCredit, are available to make treatment affordable.

See financing options

The Neuropathy & Healing Center1 St. Johns Medical Park Drive, Suite 2
St. Augustine, FL 32086
(904) 217-0542

Request a consultation

Name

Phone

Street Address(optional)

City(optional)

State(optional)

Zip Code(optional)

Treatment of Interest(optional)

How can we help?(optional)

I consent to receive non-marketing text messages from ST AUGUSTINE FOOT & ANKLE INC about appointment reminders, booking confirmations, and account updates. Message frequency may vary, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

I consent to receive marketing text messages, about special offers, discounts, event promotions, and service announcements, from ST AUGUSTINE FOOT & ANKLE INC at the phone number provided. Message frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By submitting this form you agree to be contacted about your enquiry. We never share your information.