Patient Information

Patient Forms

Before Dr. Wichman arrives on the house call you can download, review, and complete the necessary forms:

If you have any questions, you can ask them when Dr. Wichman arrives for the visit.

Authorization for Release of Information* – only needed if you request transfer of records.

*The form is in PDF format. If you cannot read the PDF, please download the free Adobe Acrobat Reader from the Adobe website.


Please note: Dr. Kenneth Wichman of Manchester Podiatry Center, P.C. is available for house calls by appointment.

Please call 1-888-804-7180.