Dr. Richard R. Moy, DPM, Inc.
 
Patient Log-In


login


Please answer the questions below to register for full access to our bulletin board system.

Also, make sure to choose a name to be identified on the bulletin board so that you can track your questions.
Important Note: We recommend a nickname or your first name, but not your last name or email address.

After you submit, a password will be sent to the e-mail address you provide.
If you have already registered, please login above using your e-mail address as your user name and the password we sent you.

PROFILE DISCLAIMER
We use the information you input to respond to your needs and to help us get the information you have requested. We do not collect personal information for any other purposes. We do not create individual profiles with the information you provide or give this information to any private organizations. Also, we do not collect information for commercial marketing.
 

 
E-mail
First Name Primary contact phone number
Last Name Best time to call if needed
Nick Name (Forum Alias) Secondary contact phone number
 
How long have you had bunion pain?

 
Please check all that apply
Do you personally have a bunion?    
Do you have bunions on both feet?    
Do you have pain or discomfort at this point due to yor bunion?    
Have you had medical consultation on you bunion issue?    
Have you had surgery for bunions before?    
Was the surgery successfull?    
Do you have a relative that has bunions?    
Do you know of friends and/or associates that have bunions?    
Do you have medical insurance that is non-HMO type?    
Would you like to recieve additional information about bunion surgery beyond our website?    
Would you be interested in Dr. Moy's new line of Orthopedic Shoes?    
Do you have any other type of foot or ankle problems?    
   

Comments:

Download a Printable Version of Web Site