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During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. We accept most insurances.
Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.
Please arrive early so that we can complete your initial paperwork. Also, please bring the following:
Insurance and Payment Information
You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.
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September 3, 2024
To My Valued Patients,
I am writing to inform you that effective Monday, September 16, 2024, I will be closing my practice and starting my next chapter. Unfortunately, due to multiple extraneous reasons, my business will be filing for bankruptcy protection. I will no longer be available to take care of your foot needs after that date. I have enjoyed my career at Bolingbrook Foot and Ankle Center, and it is hard to say goodbye to you. It has been a privilege to have been your podiatrist over the years. I wish you and your family the best of health in the future.
Should you require further foot care, I can recommend Dr. Joe George (815-741-6900) or Dr. Nancy Jagodzinski (630-778-7670). You may also use your insurance company’s provider directory or check with your hospital’s physician referral service.
If you require a copy of your medical records, I have attached a records release authorization form for your convenience. In accordance with Illinois state law, the fee for medical records will be as follows:
Fee | Base | 2024 |
Handling charge | $20.00 | $34.72 |
Copy pages 1 through 25 | $0.75 | $1.30 |
Copy pages 26 through 50 | $0.50 | $0.87 |
Copy pages in excess of 50 | $0.25 | $0.43 |
Copies made from microfiche or microfilm | $1.25 | $2.17 |
If you choose to pick up a copy of your medical records, please give us advance notice and do so no later than Monday, September 30th. After September 30th your records will be held off site and can be made available by calling 630-474-8696.
Sincerely
Dr. Ronald P. Pieroni