Patient Info & Forms

Welcome to Progressive Podiatry’s family of patients. We have provided the following patient forms and information for your reference and to save you time during your initial appointment with our Brooklyn podiatrists Dr. Breth or Dr. Khanna.

Forms

Simply click on the following links to read and print out each form, complete them and either bring them to your first visit or fax to our office: 718-840-0653.

Payment Policy
Hippa Confidentiality Agreement
Patient Information
Questionnaire

Information
Click here to see a list of health insurance plans we accept.
Click here to read our disclaimer.

If you have any questions about our policies, procedures, forms or foot problems, please call our office: 718-840-0660.