{"id":36,"date":"2026-03-30T14:12:19","date_gmt":"2026-03-30T14:12:19","guid":{"rendered":"https:\/\/nervous-chatelet.74-208-74-80.plesk.page\/?page_id=36"},"modified":"2026-03-30T18:09:19","modified_gmt":"2026-03-30T18:09:19","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/drdanbrandwein.com\/index.php\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"        <div class=\"eupp-fullbleed eupp-page eupp-patient-forms\">\n            <section class=\"eupp-hero\" style=\"background-image:linear-gradient(180deg, rgba(4,36,22,.54), rgba(4,36,22,.58)), url('https:\/\/nervous-chatelet.74-208-74-80.plesk.page\/wp-content\/plugins\/elite-utility-pages-plugin\/assets\/img\/placeholder-hero.svg');\">\n                <div class=\"eupp-inner eupp-hero-inner\">\n                    <div class=\"eupp-eyebrow\">Patient Forms<\/div>\n                    <h1>Patient Forms<\/h1>\n                    <div class=\"eupp-subline\">In Practice Since 1991 <span>|<\/span> Same-Day Appointments Available <span>|<\/span> Most Insurance Accepted<\/div>\n                    <a class=\"eupp-hero-phone\" href=\"tel:9549847500\">(954) 984-7500<\/a>\n                    <div class=\"eupp-hours-inline\">Hours: <strong>Open<\/strong> \u00b7 Closes 4:00 pm<\/div>\n                <\/div>\n            <\/section>\n            <section class=\"eupp-content-wrap\">\n                <div class=\"eupp-inner eupp-two-col\">\n                    <div class=\"eupp-main-copy\">\n                        \n            <h2>Fill Out Our Forms Before Your First Visit<\/h2>\n            <p>At the office of Dr. Daniel Brandwein DPM, PA, FACFAS, we want your first visit with us to be as stress-free as possible. To help us in this endeavor, please download, print, and fill out the forms below and bring them with you to your appointment. If you have any questions, don't hesitate to <a href=\"https:\/\/drdanbrandwein.com\/contact\/\">contact us<\/a>.<\/p>\n            <p>Appointments with the Dr. Monday, Wednesday and Thursday's from 8-3. Emergency Appointments always available.<\/p>\n            <div class=\"eupp-button-stack\">\n                <a class=\"eupp-btn solid\" target=\"_blank\" rel=\"noopener\" href=\"\/wp-content\/uploads\/forms\/dr-daniel-brandwei-dpm-pa-facfas-new-patient-information-sheet.pdf\">New Patient Information Sheet<\/a>\n                <a class=\"eupp-btn solid\" target=\"_blank\" rel=\"noopener\" href=\"\/wp-content\/uploads\/forms\/dr-daniel-brandwei-dpm-pa-facfas-personal-injury-slip-and-fall-new-patient-form.pdf\">New Patient Personal Injury Form<\/a>\n                <a class=\"eupp-btn solid\" target=\"_blank\" rel=\"noopener\" href=\"\/wp-content\/uploads\/forms\/dr-daniel-brandwei-dpm-pa-facfas-new-patient-chart.pdf\">New Patient Chart<\/a>\n            <\/div>                                            <\/div>\n                    <aside class=\"eupp-side-card\">\n                        <h3>Your Patient-Focused Foot Care Clinic<\/h3>\n                        <div class=\"eupp-side-copy\"><p>Call to schedule an appointment.<\/p><p>Once you're here, you'll never have more than a 15-minute wait!<\/p><\/div>\n                        <div class=\"eupp-side-phone\">(954) 984-7500<\/div>\n                        <div class=\"eupp-side-note\">Walk-ins are welcome, and same-day appointments are available!<\/div>\n                    <\/aside>\n                <\/div>\n            <\/section>\n            <section class=\"eupp-bottom-review-strip\"><div class=\"eupp-inner eupp-bottom-review-grid\"><div class=\"eupp-bottom-video-card\"><div class=\"eupp-bottom-video-overlay\">Learn More About<br><strong>Dr. Daniel Brandwein DPM, PA, FACFAS<\/strong><\/div><\/div><div class=\"eupp-bottom-quote\"><div class=\"eupp-quote-mark\">\u275d<\/div><p>Dr. Daniel is the best. His staff is very professional. Always a very happy experience. Happy feet!<\/p><div class=\"eupp-quote-meta\">- Ruthy Goldner Siegel, via Facebook<\/div><\/div><\/div><\/section>        <\/div>\n        \n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-36","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Patient Forms - Dr. Dan Brandwein<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drdanbrandwein.com\/index.php\/patient-forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patient Forms - Dr. Dan Brandwein\" \/>\n<meta property=\"og:url\" content=\"https:\/\/drdanbrandwein.com\/index.php\/patient-forms\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr. Dan Brandwein\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-30T18:09:19+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/drdanbrandwein.com\\\/index.php\\\/patient-forms\\\/\",\"url\":\"https:\\\/\\\/drdanbrandwein.com\\\/index.php\\\/patient-forms\\\/\",\"name\":\"Patient Forms - 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