Jordan Creek Foot & Ankle Clinic

230 S 68th St # 1209
West Des Moines, IA 50266
(515) 471-1826

Jordan Creek Foot & Ankle Clinic
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New Patients

New patients are welcome. All new patients are asked to complete the new patient registration form, and must present their insurance card(s) upon their first visit with our office. If your insurance plan requires that you have a referral from your primary care doctor, please make sure you obtain one before your appointment.

We ask that all new patients arrive a minimum of 20 minutes prior to their scheduled appointment in order to complete the registration process. Patients who have already completed the registration forms (by accessing them through our web site or by picking them up at our office) need only arrive 10 minutes prior to their scheduled appointment time.

New Patient Registration [ .pdf ] [ .doc ]

The pdf version can be read in Adobe Reader.
When clicked, the files will open in a new browser window.
If you would like to save them, right click on the link and select 'Save Target As..'


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Copyright © 2008 Jordan Creek Foot & Ankle Clinic | Don Crank, DPM