top of page
Connie Wong, D.P.M. and
Ki Sang Yi, D.P.M., Inc.
Call Us Now At (562) 597-5100
forms
Here you will find the forms that you may need to fill out. You may print them out, fill them in advance before your visit. These forms are also available in the office if needed.

In order to view these forms, you must have the latest Adobe Reader installed or click here to download it.
patient information
Fill this form out with your information, podiatric history, and insurance information.

​
patient history
Fill this form out with your medical history, including allergies and any medications.

hipaa consent form
Sign this consent form after thoroughly reading it. This form is on how your medical information will be handled.

bottom of page