Patient Forms

Patient Portal:

Patient Portal: Login


Our Forms:

Patient Registration Forms: PDF

Patient Privacy Form: PDF

Surgery Discharge Instructions: PDF

Nail & Wart Surgery Instructions: PDF

Consent Form for Game Ready: PDF

Consent Form for Cold Therapy Machine: PDF

 

Surgery Center Forms:

American Surgery Center Discharge Instructions: PDF

Authorization for Surgery: PDF

Facility Financial Policy: PDF

Information about your Podiatric Surgery: PDF

Information Ankle Diagram: PDF

Information Foot Diagram: PDF

Ownership Interest: PDF

Privacy Policy: PDF

PRP Aftercare Instructions: PDF

State Directives Form: PDF

Lovenox Form: PDF

Consent to Medical & Surgical Procedures: PDF

 

Capital Imaging Registration Forms

Capital Imaging Registration: PDF

Capital Imaging Patient History: PDF

Capital Imaging Consent for Administration of Gadolinium Based MR Contrast Agent: PDF

Capital Imaging Film and Report Release: PDF

Capital Imaging Medical History Questionnaire: PDF

 

Patient Information:

 

About Practice

The expertly trained and highly skilled podiatrists at National Capital Foot & Ankle Center are dedicated to providing the most medically advanced and effective foot and ankle care available to residents in Washington, DC and the surrounding communities. They also maintain a caring and open environment in their clinic and believe that prompt diagnosis and early intervention, as well as prevention, are essential for the care and treatment of your feet and ankles.

To prepare for their specialty, podiatrists undergo extensive education and hands on training focused on maintaining the health and function of your feet and ankles. The providers at National Capital Foot & Ankle Center combine their extensive training with a wealth of clinical experience to provide their patients the best podiatric care anywhere. They offer treatment for chronic complaints, acute injuries, and emergency care.

The podiatric specialists at National Foot & Ankle offer a broad range of services for essentially all your foot and ankle needs, including:

  • Sports injuries
  • Diabetic foot care
  • Heel and ankle pain
  • Achilles tendon injuries
  • Reconstructive surgery: Including minimally invasive laparoscopic surgery
  • Bunion treatment

They also provide:

  • MLS laser therapy for inflammation and pain
  • Bone marrow aspiration
  • Stem cell injections
  • Advanced wound care
  • Laser treatment for fungal toenails

Call for an appointment today or contact National Foot & Ankle Center via their online, patient-friendly scheduling service.

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National Capital Foot & Ankle Center

The expertly trained and highly skilled podiatrists at National Capital Foot & Ankle Center are dedicated to providing the most medically advanced and effective foot and ankle care available to residents in Washington, DC and the surrounding communities. They also maintain a caring and open environment in their clinic and believe that prompt diagnosis and early intervention, as well as prevention, are essential for the care and treatment of your feet and ankles.

To prepare for their specialty, podiatrists undergo extensive education and hands on training focused on maintaining the health and function of your feet and ankles. The providers at National Capital Foot & Ankle Center combine their extensive training with a wealth of clinical experience to provide their patients the best podiatric care anywhere. They offer treatment for chronic complaints, acute injuries, and emergency care.

The podiatric specialists at National Foot & Ankle offer a broad range of services for essentially all your foot and ankle needs, including:

They also provide:

Call for an appointment today or contact National Foot & Ankle Center via their online, patient-friendly scheduling service.


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What we offer

Services

David A. Engorn, DPM

David A. Engorn, DPM is a compassionate podiatrist serving patients from Potomac, Maryland and Friendship Heights, Washington, DC. He offers a variety of services and treatments for sports injuries, heel pain, ankle pain, Achilles tendon pain, bunions, and more. His services include MLS laser therapy, bone marrow aspiration, stem cell injections, wound care, and laser treatments for fungal toenails.

Dr. Engorn completed his bachelor’s degree at the University of Maryland before earning his medical degree at the Barry University School of Podiatric Medicine. He served his residency in Podiatric Surgery at MedStar Washington Hospital Center. Dr. Engorn. His patients benefit from his dedication to providing thorough care to relieve pain and help them return to normal activities. As an avid runner, Dr. Engorn understands how important it is to not only care for the feet, but to treat injuries thoroughly as soon as possible.

Dr. Engorn looks forward to meeting new patients and accepts most major forms of insurance.

  • Board Certification:
    • Board of Medicine License to Practice as a Resident State of Maryland
    • Board of Medicine License to Practice as a Resident State of Virginia
    • Advanced Cardiac Life Support (ACLS), June 2015
    • Basic Life Support (BLS), June 2015
    • Pediatric Advanced Life Support (PALS)

 

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Patient Success Story

  • Watch here to see one of Dr. Polun's many successful patient stories. Please call the office today to take care of all your podiatric needs!

Dr. Polun Awards and Press
  • Dr. Franklin R. Polun has been named one of America's Best Podiatrist 2015 by the National Consumer Advisory Board

  • Dr. Franklin R. Polun, recognized as one of Bethesda's great people to know and places to go in 2016 by Bethesda Magazine.

  • For the second year in a row, Dr. Franklin R. Polun has been nominated as one of Bethesda's best places to go in 2017.

  • Dr. Franklin R. Polun has been selected as a Top Podiatrist in Potomac, MD by the International Association of HealthCare Professionals.

  • Dr. Franklin R. Polun has been selected as a Top Podiatrist in Potomac, MD by the International Association of HealthCare Professionals.

  • Dr. Polun - Cartiva Certificate of CompletionDr. Polun - APMA Certificate

    Press Collage

Dr. Franklin Polun and Dr. David Engorn are board-certified in Foot and Ankle surgery

Awards & Press

Insurance

We participate with all major insurance companies, including:

Aetna
Blue Choice Health Plan
CareFirst
Cigna
Medicare
PHCS
Tricare
United Healthcare
Our Locations

Choose your preferred location