TANNER FOOT & ANKLE CLINICS (801) 773-4865 GARY N. OAKS DPM
  • Home
  • Make an Appointment
  • Patient Information
    • Office Visit Handouts
    • Gait Videos
    • Tanner Clinic Patient Portal
    • Rehab and PT after surgery/injury
    • Surgery Instructions and Post Operative Information >
      • Pre Operative Instructions
      • Post Operative Visit Instructions >
        • Ankle stabilization
        • Endoscopic gastrocnemius recession
        • First metatarsophalangeal joint fusion or big toe joint fusion
        • Minimally invasive achiiles tendon repair protocol
      • Assistive Devices
    • Patient Forms and Policies >
      • New Patient History Form
      • Determining Covered Services
      • Disability Form Processing Policy
      • Pain Medications and Controlled Substances
    • Insurances Accepted
    • Shoe & Orthotic Guide >
      • Shoe Stores
      • Lacing techniques
      • Orthotic Break In
    • Patient Survey
  • Treatments Provided
    • Common Problems A-J >
      • Ankle Instability
      • Ankle Sprain
      • Arthritis of the Foot and Ankle
      • Blood Clots of the Foot or Leg (DVT)
      • Bone Infections/Osteomylitis
      • Bunion
      • bursitis
      • Callus or Corn
      • Cracked Heels
      • Flat foot
      • Foot Odor
      • Fractured Bones
      • Frostbite
      • Ganglion Cyst
      • Gout
      • Hammertoe
      • Heel Pain
      • Ingrown Toenail
      • Intractable plantar keratosis
      • Joint Pain
    • Common Problems K-Z >
      • Mole/Melanoma
      • Nail Fungus
      • Neuroma
      • Peripheral Artery Disease (PAD)
      • Plantar Wart
      • Puncture Wound
      • Restless Legs
      • Rheumatoid Arthritis
      • Skin Cancer
      • Smelly Feet
      • Stress Fractures
      • Sweaty Feet
      • Swollen Ankle (Edema)
      • Thick Nails
      • Tingling Feet (Neuropathy or Sciatica)
      • Tired Feet
      • Ulcers
    • Diabetic Feet >
      • Amputation Prevention
      • Foot Care
      • Peripheral Neuropathy
      • Diabetic Shoegear
      • Wound Care
    • Kids Feet >
      • Flatfeet
      • Heel Pain in Kids
      • Ingrown Toenails in Kids
      • In toeing, Pigeon toe or Genu Valgum
      • Waddling walk, Duck Walk or Genu Valgum
      • Orthotics
    • Sports Medicine >
      • Achilles Tendonitis
      • Ankle Sprain
      • Athletes Foot
      • Biomechanics
      • Joint Pain
      • Orthotics/Arch Supports
      • Running Injuries
      • Shin Slints
  • About Us
  • Location
  • Store
  • Blog
  • Custom Molded Orthotics (CMO)
  • Fall Risk
  • Intermittent Claudication
  • Nutrition and wound healing
  • Opioid Pain Medications-What you need to know
  • Topical Pain Options
  • Peripheral Neuropathy

New Patient History Form

Please Print: 1- New Patient History Form  2-Tanner Clinic Information 3- Intake Forms
New Patient History Form in Microsoft Word
File Size: 203 kb
File Type: doc
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Health Patient Information in Microsoft Word
File Size: 52 kb
File Type: doc
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Tanner Clinic Intake form in Microsoft Word
File Size: 74 kb
File Type: doc
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New Patient History Form in PDF/Adobe
File Size: 144 kb
File Type: pdf
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Health Patient Information in PDF
File Size: 83 kb
File Type: pdf
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Tanner Clinic Intake form in PDF
File Size: 38 kb
File Type: pdf
Download File


Tanner Foot & Ankle Clinics

Tanner Clinic-Roy
3443 W. 5600 S. Suite #110
Roy, Utah. 84067
(801)773 4865  Appointment 
​
(801) 525-8757 Fax
DISCLAIMER OF Gary N. Oaks DPM
Gary N. Oaks DPM expressly disclaims all warranties and responsibilities of any kind, whether express or implied, for the accuracy or reliability of the content of any information contained in this Web Site, and for the suitability, results, effectiveness or fitness for any particular purpose of the services, procedures, advice or treatments referred to herein, such content and suitability, etc., being the sole responsibility of parties other than Gary N. Oaks DPM, and the reliance upon or use of same by you is at your own independent discretion and risk.
  • Home
  • Make an Appointment
  • Patient Information
    • Office Visit Handouts
    • Gait Videos
    • Tanner Clinic Patient Portal
    • Rehab and PT after surgery/injury
    • Surgery Instructions and Post Operative Information >
      • Pre Operative Instructions
      • Post Operative Visit Instructions >
        • Ankle stabilization
        • Endoscopic gastrocnemius recession
        • First metatarsophalangeal joint fusion or big toe joint fusion
        • Minimally invasive achiiles tendon repair protocol
      • Assistive Devices
    • Patient Forms and Policies >
      • New Patient History Form
      • Determining Covered Services
      • Disability Form Processing Policy
      • Pain Medications and Controlled Substances
    • Insurances Accepted
    • Shoe & Orthotic Guide >
      • Shoe Stores
      • Lacing techniques
      • Orthotic Break In
    • Patient Survey
  • Treatments Provided
    • Common Problems A-J >
      • Ankle Instability
      • Ankle Sprain
      • Arthritis of the Foot and Ankle
      • Blood Clots of the Foot or Leg (DVT)
      • Bone Infections/Osteomylitis
      • Bunion
      • bursitis
      • Callus or Corn
      • Cracked Heels
      • Flat foot
      • Foot Odor
      • Fractured Bones
      • Frostbite
      • Ganglion Cyst
      • Gout
      • Hammertoe
      • Heel Pain
      • Ingrown Toenail
      • Intractable plantar keratosis
      • Joint Pain
    • Common Problems K-Z >
      • Mole/Melanoma
      • Nail Fungus
      • Neuroma
      • Peripheral Artery Disease (PAD)
      • Plantar Wart
      • Puncture Wound
      • Restless Legs
      • Rheumatoid Arthritis
      • Skin Cancer
      • Smelly Feet
      • Stress Fractures
      • Sweaty Feet
      • Swollen Ankle (Edema)
      • Thick Nails
      • Tingling Feet (Neuropathy or Sciatica)
      • Tired Feet
      • Ulcers
    • Diabetic Feet >
      • Amputation Prevention
      • Foot Care
      • Peripheral Neuropathy
      • Diabetic Shoegear
      • Wound Care
    • Kids Feet >
      • Flatfeet
      • Heel Pain in Kids
      • Ingrown Toenails in Kids
      • In toeing, Pigeon toe or Genu Valgum
      • Waddling walk, Duck Walk or Genu Valgum
      • Orthotics
    • Sports Medicine >
      • Achilles Tendonitis
      • Ankle Sprain
      • Athletes Foot
      • Biomechanics
      • Joint Pain
      • Orthotics/Arch Supports
      • Running Injuries
      • Shin Slints
  • About Us
  • Location
  • Store
  • Blog
  • Custom Molded Orthotics (CMO)
  • Fall Risk
  • Intermittent Claudication
  • Nutrition and wound healing
  • Opioid Pain Medications-What you need to know
  • Topical Pain Options
  • Peripheral Neuropathy