Wednesday, February 21, 2018
Northeast Foot & Ankle Clinic Fort Wayne Decatur
New Patient Forms
For your convenience, New Patients may download, print and complete the following forms to expedite your first office visit.

Office Number
(260) 416-0070

Fax Number
(260) 416-0017
Insurance Providers
  • Aetna
  • Anthem PPO
  • Cigna
  • Humana
  • Lutheran
  • 3 Rivers
  • Medicare
  • HC
  • Unicare
  • Secure Horizon
  • Signature care
  • Tricare / Champus
  • Todays Options
Fort Wayne Office
 2510 East Dupont Road, Suite 234, Fort Wayne, IN  46825
 Tuesdays and Thursdays: 9:00 a.m. - noon & 2 p.m. - 5 p.m.
Northeast Foot & Ankle Clinic Dupont Hospital Fort Wayne
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 Visit Dupont Hospital's Website Here
Campus Map (pdf)
Decatur Office
815 High Street, Suite A, Decatur IN 46733
 Every OTHER Wednesday: 9 a.m. - noon & 2 p.m. - 5 p.m.
Northeast Foot & Ankle Clinic Adams Memorial Hospital Decatur
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Visit Adams Memorial Hospital's Website Here
 Member of:  Staff Physician at:
American College of Foot and Ankle Surgeons (ACFAS)
American Podiatric Medical Association (APMA)
American Board of Podiatric Surgery (ABPS) Indiana Podiatric Medical Association (IPMA) Dupont Hospital Fort Wayne Adams Memorial Hospital Decatur Lutheran Hospital Fort Wayne Parkview Hospital Fort wayne St. Joseph Hospital Fort Wayne Inverness Surgery Center Fort Wayne

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