To the best of my knowledge, I have answered the questions on this form accurately. I understand that providing incorrect information can be dangerous to my health. I understand that it is my responsibility to inform the doctor and office staff of any changes in my medical status.
I understand a copy of the HIPAA Privacy Practice is available to me upon request.
Your information will be encrypted.
If this is an emergency, call 911.
Dr. Navid Sadoughi, DPM AACFAS
Doctor of Podiatric Medicine, Chevy Chase Foot and Ankle LLC
Dr. Sadoughi is a graduate of the University of Maryland and Temple University. He is board qualified by the prestigious American Board of Foot and Ankle Surgery in both foot and reconstructive rearfoot and ankle surgery. He has a comprehensive approach towards his patients and he believes in exhausting all the conservative methods before an invasive surgical procedure is performed. We look forward to your visit and welcoming you to Chevy Chase Foot and Ankle!