Welcome to Our Practice

Your first visit with Dr. Zina B. Cappiello DPM, LLC. establishes a vital foundation for our relationship. We like to get to know our patients, and that includes obtaining important background information like your medical history, activity level, and the future goals that you want to achieve. We offer both conservative and surgical approaches based on your individual needs.

Dr. Cappiello works with other specialists who put patient care first. For your convenience, you can print and complete the patient forms in advance of your appointment with our office.

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf podiatry patient form downloadNew Patients

pdf podiatry hipaa consent form downloadHIPAA Consent Form

pdf podiatry insurance downloadInsurance

pdf podiatry medical history form downloadMedical History

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Connect With Us

Advanced Podiatric Procedures & Services in the Passaic County, NJ: Clifton (Paterson, Passaic, Wayne, Hawthorne, Little Falls, Totowa) and Essex County, NJ: Newark, East Orange, Bloomfield, West Orange, Belleville, Nutley areas