NEW PATIENTS

At Dr. Pulapaka's office we understand that you will have financial questions. Our goal is to provide options that will fit your budget comfortably. Aside from excepting most major medical insurances and Medicare we also offer self-pay services.
Our experienced staff can give you full service assistance with your insurance and written estimates. There are low monthly payments and many choices so that you can tailor your financing to suit your needs.

We accept all major credit cards and all co-payments are due the same day of service.

Prior to your first visit you can print all three of your forms to review and complete at home.
NEW PATIENT FORMS
Patient Initial History - printed
Patient Initial History - ONLINE form
Patient Treatment and Financial Consent
Patient Insurance Forms, HIPPA and Lifetime Signature
Authorization for Verbal Release of Medical Information
Request for Medical Information to be sent to Dr. Pulapaka

YOUR PODIATRIC PHYSICIAN TALKS ABOUT MEDICARE
For our patients that do not qualify for medicare coverge we have a self-pay price for routine nail care, $35.00. Sometimes, this service is cheaper than the Medicare Replacement's Co-pay. Speak with our office coordinator.

CANCELLATION POLICY: DeLand Foot and Leg Center, LLC requires a 24 hours cancellation notice. We ask your full cooperation not to burden you. If your appointment is on Monday morning you can call Saturday to cancel. You may leave a message with our service when calling the office after hours. A $45.00 fee applies for appointment cancellations in less than 24 hours. A $250.00 fee applies for surgery canceled in less than 48 hours.

Prescription Refill requests take 48 hours to process, so please allow adequate time for us to fill your request. Disability, Insurance, and/or Medical Forms requests usually take 5-7 days to complete after the $35.00 processing fee has been paid for each packet. Lab results: it is the patient’s responsibility to follow through on their care and request a copy or the results of any and all labs or testing performed in the office or out of the office, i.e. MRI, Bone Scan, and Pathology. Appendix A to Part 92