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Intake Form

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Intake Form for Foot Care Appointment
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Appointments that are not cancelled 24 hrs prior to your scheduled appointment will be subject to a cancellation fee of $20.00 (this includes same day cancellations and no shows). This fee will be added to your next appointment.
As per public health guidelines Niagara Mobile Foot Care must screen clients for signs and symptoms of acute respiratory infection.
Other regions of Niagara, we can connected with an independent foot care nurse that will self schedule your appointment (Rates Vary). Examples-Thorold, Niagara on the lake, Welland, Port Colborne/Welland Port, St. Davids, Niagara Falls, Stevensville/Ridgeway, Vineland, Grimsby, Wainfleet