Patient Center Welcome to our Patient Center. Here you can request an appointment and print out office forms. Request An Appointment *Name: *Email: *Phone: Today's Date: Best Time For Appointment: Morning Afternoon Evening Best Day of Week For Appointment: Monday Tuesday Wednesday Thursday Friday Any Day What is the reason for your visit?: Referred by: (Please indicate the person or organization who referred you to Cafengiu Podiatry) If you are a new patient please print and complete the following forms prior to your appointment. • HIPPA Notice of Privacy Practices • Acknowledgement of HIPPA Privacy • Assignment of Benefits • Patient History Form • Patient Registration Form • Office Policies