Patient Forms

We welcome all new patients!

New patients are required to complete the New Patient Intake Forms.

Please bring your insurance card(s) and a valid form of identification (drivers license) at your first visit with our office.

If you are a new patient, please arrive at least 15 minutes prior to your scheduled appointment in order to complete the new patient intake process.

Primary Care Provider (PCP) referrals can be faxed to (314) 338-3495.

To prevent any delays, please take some time to complete the New Patient Form ahead of time.  

As a reminder, please bring a list of medications and allergies. 
If you have any questions please feel free to call us at (314) 735-5197 or send us an email
We are dedicated to going the distance to meet your needs!

Here's what our patients are saying about More Than Just Podiatry
"Dr. Sills-Powell is not only a very skilled surgeon, he is caring and professional. He fixed my hammer toe, bunion and miscellaneous issues with my foot. I am so happy with the results! My foot is pain free and I can walk, hike, dance, PAIN FREE! So worth the surgery and recovery time. Thanks Dr. J!" - Conni B.
 "Excellent service! Diagnosed and identified my problems in just two visits and been great since. Highly recommended by me! Thank You Dr. Sills-Powell!" - Ron S.