FOOT CARE CENTER OF TAMPA

1020 W. Hillsborough Ave. 7926 W. Hillsborough Ave.
Tampa, Florida   33603 Tampa, Florida   33615
(813) 238-3631 (813) 885-3668
Fax:  (813) 882-0291

Email:  FootDoc@verizon.net

 

Dr. Barry C. Blass - Podiatrist Foot Specialist


For our patients convenience, we have provided the necessary forms for your initial visit.  They can be filled out on your local computer prior to printing, or can be printed blank.

Whichever method you choose, please bring these completed forms with you on your initial visit.  This will save you time while in our office and afford you the opportunity to compile complete information at your leisure.

*NO INFORMATION IS RETAINED OR TRANSMITTED WITH THESE FORMS.

These forms are in PDF format.  If you do not have a PDF reader, click on the "Get Adobe Reader" button HERE>>

Get Adobe Reader

(The Download is FREE)

 
           
Patient Information Form Release Form Privacy Practices (HIPPA) Statement
           

Click on building below to view map

Click on building below to view map

1020 West Hillsborough Avenue

7926 W. Hillsborough Ave., Suite G

Tampa, Florida   33603

Tampa, Florida   33615
   

Office Hours:

Monday:

8:30 am - 5:00 pm

Tuesday:

2:00 pm - 5:00 pm

Wednesday:

8:30 am - 12:00 noon

Friday:

8:30 am - 5:00 pm

Office Hours:

Tuesday:

8:30 am - 12:00 noon

Thursday:

8:30 am - 5:00 pm

 

© Copyright 2006 PatientInfoForms.com - Tampa, Florida.   Web Site Development & Hosting by Suncoast Web Gallery Inc.