Patient Forms, Referring Physicians and Office Policies

NEW PATIENTS

Is this your first time as a patient at Carriero Foot and Ankle? Save yourself some time in the waiting room by filling out the necessary forms beforehand! Please check in online seven days before your appointment and make sure to complete and print the four medical forms in the Patient Portal and bring them with you to your appointment.

PATIENT PORTAL LINK

New Patient Paperwork

Notice of Privacy Practices Packet (Read Only)

REFERRING PHYSICIANS

For referring physician offices, please call (760)642-7009.

Please include reason for referral, pertinent imaging studies and insurance information.

OFFICE POLICIES

Billing

Co-pays are due at the time of your office visit. For your convenience, we accept MasterCard, Visa, American Express, Discover and HSA, as well as personal checks and cash.

For billing questions, please contact our  office at (760)642-7009.

Appointment Policy

Please arrive 15-20 minutes prior to your initial appointment and bring your valid insurance card. If you had recent diagnostic studies performed (i.e., X-rays or MRI services), please bring them with you to help expedite your care. Additionally, if you have any written reports from other physicians, please bring them to your appointment.

Save time in the waiting room and complete your patient forms before your appointment.

No-Show and Cancellation Policy

If you wish to cancel your appointment, please do so 24 hours prior to your scheduled appointment. If you fail to appear for an appointment or fail to cancel at least 24 hours in advance for an appointment, you will be billed a “no-show” fee.

Prescription Refills

It is the office policy that medication refills be handled during the hours of 8:30 a.m. to 4:30 p.m. Monday through Thursday. Please allow 48 hours for your request(s) to be completed. Prescriptions cannot be filled over the weekend.

Notice to Patients About Open Payment Database

The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at https://openpaymentsdata.cms.gov.

  For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.