Cortese Foot & Ankle Clinic
 
FREE FOOT SCREENING BY APPOINTMENT! EXCELLENCE AND CONVENIENCE IN MODERN FOOTCARE. VISIT SOLE SAVERS SHOE STORE INSIDE CORTESE FOOT AND ANKLE CLINIC!
 
 
 
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New Patient Forms



Podiatric doctors - Podiatrist in Bloomington-Normal, Pontiac, and Clinton
Please download all (4) forms, fill in your information, and e-mail as an attachment to us before your first appointment.

Once completed please e-mail your form to:
bonnie@cortesefootandankle.com
Privacy Practice Acknowledgement
 
This form requires your signature, please print this form out and sign before your appointment.