Use the convenience of our website to request an appointment and save yourself a few extra "steps"!
Our office will contact you upon receiving your completed form.
Tell us about yourself:
Title / Salutation
Daytime Phone Number*
Have you been seen by Lam Family Foot Care before?
Fort Plain Office
Preferred Day of Week (Select top two preferred days):
Please list your insurance carrier:
How did you hear about us?
*Please list the nature of your problem, question or comment: