New Patient Packet

There are often several questions regarding insurance companies and what they cover regarding physicals, medical procedures, etc. As each insurance company is different, we are unable to know every policy of all our patients. We ask that you read your policies to know what covered benefits.​Littleton Foot and Ankle Clinic participates with most insurance plans, we are unable to know the specifics of each individual’s coverage. It is your responsibility to verify that Littleton Foot and Ankle Clinic participates with your plan prior to your scheduled visit. Please bring your insurance card with you to each visit and be prepared to update your personal and/or health information as needed.

Download PDF form

Download the PDF form, fill it out, then submit your filled out PDF form using the upload section below.

Download New Patient Registration PDF Form

Upload your New Patient Packet PDF Form

This information will be sent to your provider and will be kept as part of your patient records.


Please review to ensure the details are correct before completion.

Thank you! Your patient packet has been received!
Please ensure all fields are filled out correctly.

Take Control of Your Health Starting Now!

Request Appointment
Calendar Icon
// Error for Inputs // Mask for Phone Number