Request an appointment

Tell us a little about you and what is going on with your feet. We will get back to you to set up a time at the office that works for you.

We aim to see you within a week · Most insurance accepted

Your request

It takes a few minutes. Fields marked required are needed so we can reach you.

For an emergency, call 911. For an urgent foot problem during office hours, call the office at (541) 385-7129.

Are you a new or returning patient? (required) New patient Returning patient

First name (required)

Last name (required)

Date of birth (required)

This helps us find your records if you have been here before.

Phone (required)

Preferred office

Preferred doctor

What is going on?

A few words is fine. Please do not include sensitive medical details.

Preferred days or times Mornings Afternoons

Best way to reach you (required) Call me Text me Email me

This form is a mockup. It does not send yet. Where it sends will be decided with the clinic.

This is a request, not a confirmed appointment.

We will contact you to confirm a day and time.

Northwest Foot Care

Podiatry for the whole family, keeping Central Oregon on its feet.