Book $99 Consultation

All New Patients: Please fill out the online form and we will reach out to you

Please provide your contact information below and one of our staff will call you to schedule your $99 consultation.

Select Your Foot Condition That You Want To Resolve

Choose How Long Do You Have This Condition

Select What Treatment Are You Interested In?

By checking this checkbox, I understand that Restore Podiatry & Laser Center is a third-party-free, cash-based, laser practice, serving Long Island. We only perform LASER treatment. I understand that I will be paying out of pocket. (Please do not submit the form if you want to use your insurance)

By checking this checkbox, I understand Restore Podiatry only helps patients with chronic cases that failed traditional treatments. Most common conditions we treat with LASER: Plantar Fasciitis (Heel pain), Achilles tendonitis (back heel pain), stubborn toenail fungus, stubborn plantar wart, diabetic neuropathy, chemotherapy neuropathy, foot arthritis, foot neuroma, plantar fibroma and chronic foot pain.

By checking this checkbox, I completely understand that LASER treatment and Advanced treatments are not covered by my insurances. (Please do not submit the form if you only want to use your insurance for traditional treatments)

By checking this checkbox, I understand that I am submitting this form to see if I qualify for best treatment and see if we are a good fit to work together on your foot health.

By checking this checkbox, I agreed to schedule $99 consultation to see the doctor and helps doctor to custom-build treatment plans for better quality of life (Please do not submit the form if you do not want to pay out of pocket or can't afford to pay out of pocket)

By checking this checkbox, you confirm that you are aware that you will be contacted by phone to schedule an appointment and will answer the call when it comes through.

By checking this checkbox, I understand and agree that any information submitted will be forwarded to our office by email and not via a secure messaging system. This form should not be used to transmit private health information, and we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form. I agree for this website to store my details and use them to contact me via email and telephone and to receive text messages. Msg & data rates may apply.. The information you provide will be used solely for appointment information, booking, reminder, and related information for your care, promotional offer and marketing purpose. You agree with the storage and handling of your data by this website in accordance with our Privacy Policy listed at the bottom of the page.

You don’t have to live with foot pain! We don’t cover up your pain. Instead, we are treating the root cause of most chronic conditions. 

Our practice provide a natural, holistic practice with no drugs, no injections, no side effects and no surgery for most conditions. All of our technologies are Safe and FDA Cleared.

Did you know that we have 11 best advanced technologies with 6 different laser therapies?

Book $99 Consultation

Follow Us On: