We are pleased to join you on your journey to a more active lifestyle. Please let us know how we may serve your specific needs. We accept most insurance plans. Contact us to find out more about your plan's eligibility. To make an appointment, please call 276-628-6043. For your first appointment, please arrive 15 minutes early to fill out any necessary forms.

To save time, you may download forms to fill out before you arrive.

Patient Information Form
Download, fill out on your computer or by hand. Print and return to our office upon your first visit, or email to jamie@footrx.com.

Requirements of the Diabetic Patient
This checklist will help you prepare what is needed to receive therapeutic footwear.

Statement of Certifying Physician
For doctors of patients requiring therapeutic shoes: download, complete and email to jamie@footrx.com, or fax to 276-628-7543.

Requirement of the Doctor of the Diabetic Patient
This checklist will help your doctor to provide what is needed for you to receive therapeutic footwear.