Family Footcare of Mid-Michigan, P.C. title graphic

New Patient History Form

 

Our New Patient History Form is now in PDF file format. You will need the Adobe Reader to view and print our Form.

In the print options for Adobe, you will want to set Page Scaling to ''Fit To Paper''.

Click here to view and print our New Patient History Form.

 

If you do not have Adobe Reader installed on your computer, you may download it for free from the Adobe website by clicking this graphic link: Click this graphic to go to the Adobe website to download Adobe Reader.