Patient Area
New Patients
All new patients of Dr. Frank Cherpack are required to fill out the Patient Information Form and Medical History Form.
Please print out and complete the following forms. This will save you and staff time when you get to Dr. Cherpack’s office and allow you more time with the foot doctor.
In order to view or print these forms you will need Adobe Acrobat Reader installed.
New Patient Forms
Patient Information FormMedical History FormMethods of Payment
Cash, Check, or major Credit Card. Deductible amount, co-insurance, or any balance not paid by your insurance is due at time of service.
Meet Roxy
Our friendly and gentle office Mascot. Roxy is often found here at the office when she feels like coming to work. When she is here, she will greet you at the door and maybe ask you for a belly rub.
