KLAMATH FALLS FOOT AND ANKLE, LLC
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Download New Patient Forms
Please download, print, and complete these new patient forms before your visit. To download the forms, click on the above button: "Download New Patient Forms." You will need Adobe Reader installed on your computer to download these forms. Please bring the completed forms with you to your first appointment, as well as a photo ID and your insurance card(s). Thank you!

No referral required. Authorization from your insurance company is seldom necessary. Call our office at 541-850-6463 for details. 
New Patient Forms
File Size: 118 kb
File Type: pdf
Download File

Klamath Falls Foot and Ankle, LLC
Jeff Merrill, DPM, FACFAS
531 S. 6th St.
Klamath Falls, OR 97601

Appointments: 541-850-6463
Billing: 
888-719-3491
Fax: 541-850-5990
Request Appointment Online

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  • Home
  • Contact
  • New Patients
  • Patient Portal
  • Our Doctor
  • Services & Education
    • OUR VIDEOS
    • SURGERY INFOGRAPHICS
    • RevitaDERM 40
    • APMA VIDEOS
    • APMA NEWSLETTERS
  • BLOG