Downloadable Intake Form:

For your convenience we are providing a downloadable PDF Form for the purpose of collecting New Patient Information.

Just click on the link, download the PDF Form, fill out the information, print the form, sign it and bring it with you to your appointment. Retain the PDF Form that you saved to your computer for your records.

Address:
411 Plaza Drive, Suite H

Columbus, IN 47201

E-mail: info@columbusfootankle.com

Phone: (812) 372-6274

Columbus Office Hours:
Mon – Thurs, 8:00 – 4:30pm
Friday, 8:00 – 12:00pm