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Northwest Foot and Ankle Institute LLC 2075 Barkley Blvd, Suite 220 Bellingham WA 98226 Phone: (360) 933 4813 Fax: (360) 933 4526NEW PATIENT INTAKE FORM Name:DOB:Address:Gender:City/State/Zip:Marital
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01
Schedule an appointment with Northwest Foot and Ankle.
02
Fill out the patient intake form with your personal information and medical history.
03
Bring any insurance cards or identification that may be needed.
04
Be prepared to answer any questions about your symptoms or reasons for visiting the clinic.
05
Follow any additional instructions provided by the medical staff.

Who needs northwest foot and ankle?

01
Individuals experiencing foot or ankle pain
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Those seeking treatment for foot or ankle injuries
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People with chronic foot conditions such as plantar fasciitis or bunions
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Athletes in need of specialized care for sports-related foot or ankle issues
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Northwest Foot and Ankle is a medical practice specializing in the treatment of foot and ankle conditions.
Patients with foot and ankle conditions who receive treatment at Northwest Foot and Ankle may be required to provide information for filing purposes.
Patients can fill out Northwest Foot and Ankle forms either online or in person at the medical practice.
The purpose of Northwest Foot and Ankle is to provide medical treatment and care for foot and ankle conditions.
Patients may need to report their medical history, symptoms, and insurance information on Northwest Foot and Ankle forms.
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