Patient Forms, Referring Physicians and Office Policies


Is this your first time as a patient at Carriero Foot & Ankle? Save yourself some time in the waiting room by filling out the necessary forms beforehand! Please check in onine seven days before your appointment and make sure to complete and print the four medical forms in the patient portal and bring them with you to your appointment.


New Patient Paperwork

Notice of Privacy Practice Packet (Read Only)


For referring physician offices, please call (760) 642-7009.

Please include reason for referral, pertinent imaging studies, and insurance information.



Co-pays are due at the time of your office visit. For your convenience, we accept MasterCard, Visa, American Express, Discover and HSA, as well as personal checks and cash.

For billing questions, please contact our office at (760) 642-7009

Appointment Policy

Please arrive 15-20 minutes prior to your initial appointment and bring your valid insurance card or HMO authorization notice. If you’ve had recent diagnostic studies performed (i.e., X-rays or MRI services), please bring them with you to help expedite your care. Additionally, if you have any written reports from other physicians, please bring them to your appointment.

Save time in the waiting room and complete your patient forms before your appointment.

No-Show and Cancellation Policy

If you wish to cancel your appointment, please do so 24 hours prior to your scheduled appointment. If you fail to appear for an appointment or fail to cancel at least 24 hours in advance for an appointment, you will be billed a “no-show” fee.

Prescription Refills

It is the office policy that medication refills be handled during the hours of 8:30 a.m. to 4:30 p.m. Monday through Thursday. Please allow 48 hours for your request(s) to be completed. Prescriptions cannot be filled over the weekend.