KLAMATH FALLS FOOT AND ANKLE, LLC
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NEW PATIENT FORMS

New Patient Forms
File Size: 119 kb
File Type: pdf
Download File

Please download, print, and complete these forms before your visit. 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. 
Klamath Falls Foot and Ankle, LLC
Jeff Merrill, DPM, FACFAS
2300 Clairmont Dr., Suite A
Klamath Falls, OR 97601

Phone: 541-850-6463
Fax: 541-850-5990

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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