Welcome

Welcome to Southwest Podiatry! Prior to your visit, please complete the New Patient form. Once downloaded, you can type directly onto the form. Then, simply print it out and bring it with you to your appointment or fax it to the appropriate location. If you have scheduled an appointment due to an accident/injury or have an HMO, please also fill out the appropriate form(s) below.

Fax Number:

Dallas (972) 566-4690
Irving (972) 254-0683
Las Colinas (972) 432-0538
Carrollton (972) 394-0853

Injury/Accident Victims

If you are coming in because of an injury or accident, please also complete an Accident Report form prior to your visit. Either bring it with you to your appointment or fax it to the appropriate location.

HMO Policy Holders

If you have an HMO policy, please also complete the HMO Patient form prior to your visit. Either bring it with you to your appointment or fax it to the appropriate location.