COVID-19 Virtual Consultations

Due to increased health concerns regarding COVID-19, we are now scheduling Virtual Consultations.


Please complete the form below to begin your phone or internet consultation process:

Required fields are marked with an asterisk *.
Title:
    
First Name:*
   Last Name:*
Email Address:*
   Phone Number:*
Where do you live?
City, State:*
   Country:*
Have you had foot surgery before?:
YesNo		    

If yes, please indicate the surgical procedure(s) performed:

Please describe your concerns, desired results, and timeframe in which you’d like to have the procedure done:

   What is your procedure of interest?:
     
Preferred Method of Contact:*
EmailPhone 		  Best time to contact you:*
If you have some photos of your foot/feet that you would like to share, please use the upload button below to upload photos to send to us:

Please attach photos of the top view of both your left and right foot:

Photo 2: Top of left foot
  Photo 1: Top of right foot
     
   


Virtual Consultation Top view  Example Of Virtual Consultation Image

 

General Disclaimer: Please be advised that any information provided prior to an office visit is for general education purposes and should not be construed as medical care and treatment.  As such, all communications prior to an office visit are not intended to create a doctor patient relationship. Should you require medical advice please contact our office at (212) 776-4250 to set up an appointment.