It is always our goal at Dr. Simon Becker DPM to give you the medical care you deserve in a timely manner. In order to ensure that your first visit goes smoothly, you may want to complete the forms below prior to your visit. You can even fax us your forms or drop them off prior to your appointment to speed up your first visit.
Welcome Form – Download & Print Form
Privacy Notice Receipt – Download & Print Form
Financial Agreement – Download & Print Form
Privacy Notice – Download & Print Form
If you do not have AdobeReader® installed on your computer, Click Here To Download.