Click below to download PDF versions of our patient forms. Please print, fill out and bring in to your appointment.
New Patient Checklist:
- Arrive 20 minutes prior to your appointment to allow time to complete your chart
- Bring a Photo ID that includes your name & picture. Your picture will also be taken in the office for your chart.
- Bring a utility bill if your address is different than what appears on your driver license. Refer to the above Red Flag Rule.
- Bring your current insurance card(s)*
- Bring a current medication list
- Bring Power of Attorney Forms if needed
- Be Prepared to pay any co-pays if applicable
* If your insurance requires a referral, it is your responsibility to have that in place.
** If you are unable to keep your appointment, please call the office at 330-899-9160 to cancel or reschedule at least 24 hours in advance.
Please note, there will be a charge for any missed appointments
W. Joseph Schoeppner, D.P.M
Green Foot & Ankle Care, LLC
3333 Massillon Road Suite 203
Akron, OH 44312