google-site-verification=g56dIpqHz7-mR-dhgZ7UV3AcY6GWW2k1b-HAX6gvoi4 Richard C Galperin DPM | Podiatrist | Dallas TX 75208 | drgalperin.com

New Patient Forms

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Print and fill out our paperwork at your convenience at home!  That 
way, you will spend less time in the waiting room before your appointment.  
Just print and complete all five forms and bring them to the office for your appointment.  Or, if you are able to fax / e-mail / mail / drop-off the completed paperwork along with a copy of the front & back of your insurance card prior to the day of your appointment, this would 
greatly speed up your check-in process at the time of your 
appointment.  Thanks.

 

We accept most 
Commercial

Insurances; 

Medicare;
Medicaid as a secondary;

CareCredit
and cash pay.

Formas Para Pacientes Nuevos

Imprima y llene nuestras formas para que sea mas conveniente en su casa! De esa manera se va ahorrar tiempo en nuestra sala de espera para que su cita sea mas rapida.  Imprima y complete todas nuestras 6 formas y traigalas con usted el dia de su cita.  

Place your feet in our hands
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Practicing since 1994  Richard C Galperin, DPM   801 N Zang Blvd #103, Dallas TX 75208   www.drgalperin.com (214) 330-9299