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(205) 633-3606

pedal

Medical/Doctor Office Referral

new patientsPatients being referred to Riverside Podiatry from other medical offices should print the below form for patient referral appointments.  Please fax it to us.

Referral Forms
Please print and fill out the Referral form.

pdf podiatry patient form downloadReferral Form

 
F: (205) 633-3696

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