Patient Resources

What to Bring to Your Appointment

  • Insurance Cards
  • Photo ID
  • List of Medications
  • Name and telephone number of your medical doctor

Forms for Your Appointment

To save time, you can fill out your form before your scheduled visit.

Click on the link below to download the convenient PDF fillable form to be completed for your visit. Fill out the form in its entirety.
Please note: you will need Free Adobe Acrobat Reader or Preview on a Mac to view and type into this form.

Download and fill out the Patient Intake Form

To use the PDF fillable form:

  1. Save the PDF form file to your computer
  2. Navigate to the PDF file on your computer and open the PDF file directly in Adobe Acrobat Reader 

Bringing the completed form with you on the day of your visit

Print out the form, fill it in completely, and bring it with you. Arrive 20-30 minutes prior to your scheduled appointment.

Filling out paperwork in our office on the day of your visit

If you are not able to fill out your forms prior to your visit, please arrive 30 minutes before your appointment to allow sufficient time to process your paperwork.

Dr. Alicakos specializes in pediatric medicine including diagnosis, treatment, and surgery. If you have ankle or foot problems, heel pain, neuropathy or joint problems, visit Comprehensive Family Foot Care, PA.  We are also known for our treatment of sports injuries.