FORMS

 

 

 

PATIENT FORMS

 

 

To make your visit to our office more pleasant and efficient, you may download and print out these forms before arriving for your appointment.

 

Just click on each of the three forms (Registration, Office Policy and Mediction & History), download them, print them out, fill in the appropriate information and remember to sign them.

 

Then just bring them to our office at your scheduled appointment date and time.

 

Also, please remember to bring your insurance card(s) with you.

 

If you're having trouble, or need help printing these forms, please go to - PDF Help.

Call Us For

An Appointment

 

Office Hours

Monday:  1 pm - 6 pm

Tuesday:  1 pm - 6 pm

Wednesday:  9 am - 1 pm

Thursday:  CLOSED

Friday:  10 am - 1 pm

Saturday:  CLOSED

Sunday:  CLOSED

 

We can accommodate for appointments outside of normal

office hours.

 

Make an Appointment
Special Offers

DR. MICHAEL SZALACH

Podiatrist

Foot & Ankle Specialist
1384 Union Road

West Seneca,  NY  14224

Tel: (716) 675-2331

Fax: (716) 675-2941

Click the "Special Offer" button for a FREE initial examination, and to save $50.00 off custom-made orthotics.

*certain restrictions apply - see offer