If you wear foot orthoses / arch supports,what years were these fitted?
Dr Kingsford respects your privacy. All information collected, is stored securely and accessed only by our staff. In order to provide the highest standard of Podiatric care, there are times when we may communicate with your other healthcare providers.
In signing this form you consent to the collection and dissemination of information as described. You understand that provision of your medical history is necessary to provide you with effective, safe and efficient treatment. You agree to notify Dr Kingsford’s rooms if you have any changes in your health.