Welcome to Alam Podiatry – Your Journey to Healthy Feet Starts Here!
⏰ Please Complete the
New Patient Form
to Help Us Serve You Better.
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Full Name
First Name
*
Last Name
*
Phone Number
Phone
*
Are you a new or existing patient?
*
New Patient
Existing Patient
What brings you to Alam Podiatry today?
*
Foot Pain or Discomfort
Diabetic Foot Care
Injury or Trauma to the Foot or Ankle
Routine Check-up or Preventive Care
Nail and Skin Conditions (e.g., Ingrown Toenails, Fungal Infections)
Other
What is your current health insurance provider?
*
Aetna
Anthem
Cigna
Fidelis Care
Healthfirst
MetroPlus
Empire BlueCross BlueShield
United HealthCare
Harvard Pilgrim Health Care
HighMark Northeastern New York
AgeWell
Centers Health Care
United Health Group
Other
Which of our convenient locations would you prefer to visit?
*
Jamaica, Queens
Jackson Heights, Queens
Floral Park, Queens
Ozone Park, Queens
McDonald Ave, Brooklyn
Bainbridge, Bronx
Castle Hill, Bronx
