Your first visit to Blackmer Foot & Ankle establishes a vital foundation for our relationship with you. During this visit we make sure to obtain important personal and medical background information along with providing you enough time with Dr. Blackmer to address your needs and answer your questions. To better understand what to expect from your first visit at our office and what information is required, please carefully read the following information.
In an effort to save you time, we provided below two options for conveying that information. First, is where you may download forms to complete and bring to your visit. The second option is our Patient Portal, giving you direct access to our on-line Electronic Health Records. This option requires a username and password provided by our office via email when you schedule your appointment.
Monday - Thursday 8:30AM - 5:00PM
Friday 8:30AM - 1:00PM
We realize that your time is valuable and therefore make every effort to see you at your scheduled appointment time. We ask that patients provide as much advance notice as possible when running late for or cancelling an appointment.
If you are a new patient or established patient requiring information update, you will need to do the following.
Please remember to bring the following to your appointment or it may need to be rescheduled:
1. Your (or guardian's) photo ID (drivers license or government issued ID)
2. Insurance card(s)
3. Referral forms (if required)
4. Diagnostic study results (x-rays, MRI, labs, etc.)
5. Any required co-payment
6. Provide the required medical and personal history. Please download:
Patient Information and History Form
History of Foot & Ankle Complaint FormPractice Policy and HIPAA Notice:
HIPAA Notice (Health Insurance Portability and Accountability Act of 1996)