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Our office will be moving to a new address on October 2, 2020. The new address is 2903 Billy Hext Rd, Odessa TX 79765.
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New Patients

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf podiatry patient form downloadNew Patient Form Basin Podiatry

Basin Podiatry Privacy AnnuallyBasin Podiatry Privacy Annually

Basin Podiatry Consent/Annually DoneBasin Podiatry Consent/Annually Done

Diabetic Shoe Forms Available Here To Have Your Primary Care Physician Fill Out To Get Your Diabetic Shoes If You Qualify on Medicare!

 certificate of diabetic shoe evaluationCertificate of diabetic shoe evaluation

Statement of Medical Necessity prescriptions shoesStatement of Medical Necessity prescriptions shoes

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call (432) 550-3668. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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