Request Appointment

Professional Foot Care Service is just a Few Clicks Away!


Fill in the information below or call +1 (786) 428-3668


Once you complete and submit the form above, we will contact you via phone within 24 hours to schedule and confirm your appointment. Then you may print and complete the form below and bring with you to your first appointment.

  • Complete and Submit Form Above.
  • Receive Appointment Confirmation Call from Office.
  • Print and complete patient history form and fill out in the comfort of your own home.
  • Bring form with you to your first office visit.

New Patient Form

Your first visit to Advanced Footcare will allow us to establish a vital foundation for our relationship with you. During your first visit we will obtain important background information, like your medical history and give you time to get to know your practitioner. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.