“I highly recommend this place — everyone is really nice and they make sure you feel comfortable.”Google · Kimberly Manilla · Mar 2026
“Podiatrist is very knowledgeable and approachable. Staff is professional and proactive.”Google · Ben C · Feb 2026
“His professional expertise and kind demeanor made my treatment feel effective and comfortable.”Google · Cecil Lynn Farrar · Feb 2026
“Every time I come with pain I leave this place feeling great!”Google · Wendy Aguilar · Nov 2024
“A front office that runs smoothly — you know the doctor MUST be a true professional.”Google · Jerika Steele · Oct 2023
“This is the greatest doctor I've ever met — professional, polite, and knows what he does.”Google · Don Jair Casas · Dec 2025
“Dr. P, Ms. Theresa, and Ms. Maria are some of the kindest people you'll ever meet.”Google · Charles Ward · Jan 2026
“Staff was friendly and helpful. Clear instructions and a plan for recovery.”Google · Maurico Payne · Jan 2026
“The best foot doctor I have found in 40 years.”Google · Dwight Herkness · Aug 2019
“I wish I could give Dr. Patish 10 stars!!! He has literally been a life changer.”Yelp · Troy E. · Aug 2019
“Thank you Dr. Patish for taking great care of my parents!”Google · Elizabeth Naranjo · Feb 2026
“He is amazing — truly cares about my quality of life.”Healthgrades · Mar 2019
“I highly recommend this place — everyone is really nice and they make sure you feel comfortable.”Google · Kimberly Manilla · Mar 2026
“Podiatrist is very knowledgeable and approachable. Staff is professional and proactive.”Google · Ben C · Feb 2026
“His professional expertise and kind demeanor made my treatment feel effective and comfortable.”Google · Cecil Lynn Farrar · Feb 2026
“Every time I come with pain I leave this place feeling great!”Google · Wendy Aguilar · Nov 2024
“A front office that runs smoothly — you know the doctor MUST be a true professional.”Google · Jerika Steele · Oct 2023
“This is the greatest doctor I've ever met — professional, polite, and knows what he does.”Google · Don Jair Casas · Dec 2025
“Dr. P, Ms. Theresa, and Ms. Maria are some of the kindest people you'll ever meet.”Google · Charles Ward · Jan 2026
“Staff was friendly and helpful. Clear instructions and a plan for recovery.”Google · Maurico Payne · Jan 2026
“The best foot doctor I have found in 40 years.”Google · Dwight Herkness · Aug 2019
“I wish I could give Dr. Patish 10 stars!!! He has literally been a life changer.”Yelp · Troy E. · Aug 2019
“Thank you Dr. Patish for taking great care of my parents!”Google · Elizabeth Naranjo · Feb 2026
“He is amazing — truly cares about my quality of life.”Healthgrades · Mar 2019
Patient Intake Forms
Download Fallbrook Podiatry patient intake forms in English or Spanish. Fillable PDF and handwriting versions available for a smoother check-in.
New Patient Intake Forms
Fill out your intake forms online, sign with one click, and securely send them to our office — all in about 10 minutes. Walk in ready to see Dr. Patish.
Fill Out Online
Complete the form right in your browser — works on any phone, tablet, or computer
Sign
Type your name once — all 7 consent sections are signed automatically
Send Securely
Click one button — your form is faxed directly to our office via HIPAA-compliant encryption
What to Bring to Your First Visit
- Insurance card (front and back)
- Valid photo ID (driver’s license or state ID)
- List of current medications and dosages
- Referral authorization, if required by your plan
- The shoes you wear most often (helps Dr. Patish evaluate your gait)
- Printed intake form (only if you didn’t send it securely online)
Prefer to speak? Complete your form by voice
Answer 33 questions by speaking — your answers auto-fill the intake form.
English Forms
🔒 Fill Out Online & Send Securely Recommended
Complete the entire intake form in your browser — phone, tablet, or computer. Sign all consents with one click, then securely fax it to our office instantly. No printing needed.
Open Form →
Download PDF (Type or Handwrite)
One form that works both ways — type directly into it on your computer or tablet using Adobe Acrobat Reader (free), or print it out and fill in by hand. 9 pages, includes all consents.
Download
Medical Records Release
Transferring from another provider? This form authorizes your previous doctor to send your records to Fallbrook Podiatry.
Download
Formularios en Español
Llenar en Línea (Español)
Complete el formulario en español y envíelo de forma segura.
Abrir →
PDF para Llenar (Español)
Descargue el formulario en español para llenar en su computadora o tableta.
Descargar
