Your First Visit to Balance Foot & Ankle

We make it easy. Here’s everything you need to know before your first appointment.

We know visiting a new doctor can feel uncertain. Our goal is to make your first visit to Balance Foot & Ankle straightforward, comfortable, and productive—so you leave with a clear understanding of your condition and a plan to get better. Here’s exactly what to expect.

Before Your Visit: What to Bring

To make the most of your appointment, please bring the following:

• Photo ID (driver’s license or state ID)
• Insurance card(s)
• List of current medications (including dosages)
• Any relevant medical records or imaging (X-rays, MRI, ultrasound) from previous providers
• Comfortable shoes you wear regularly—your footwear tells us a lot about how you walk and where pressure builds up
• Questions you’d like to ask—we want to make sure you leave without any unanswered questions

If you haven’t completed your new patient forms online in advance, please arrive 10–15 minutes early to complete them in the office. We’ll have everything ready for you.

What Happens During Your First Visit

Step 1: Check-In (5 minutes)

Our friendly front desk team will greet you, confirm your insurance information, and make sure your paperwork is in order. We do our best to stay on schedule so you’re not waiting long.

Step 2: Meeting Your Doctor (15–30 minutes)

Your podiatrist—Dr. Tom Biernacki, Dr. Carl Jay, or Dr. Daria Gutkin—will take time to listen. We want to understand not just your current pain, but your history, activity level, and goals. There are no rushed appointments here.

Step 3: Examination

Your doctor will perform a thorough examination of your foot and ankle. This may include:

• Gait analysis (observing how you walk)
• Range of motion testing
• Assessment of muscle strength, reflexes, and circulation
• Evaluation of foot structure, alignment, and pressure points

Step 4: Imaging (if needed)

If X-rays are needed to evaluate bone structure or rule out fractures, they can often be taken on-site at the same visit. We will explain why any imaging is being ordered and what we’re looking for.

Step 5: Diagnosis & Treatment Plan

After the examination, your doctor will explain their findings in plain language—no confusing medical jargon. You’ll understand exactly what’s going on and why. Together, you’ll discuss your treatment options, including conservative (non-surgical) approaches and, if relevant, surgical options. We will always start with the least invasive, most effective treatment first.

Step 6: Next Steps

Before you leave, you’ll have a clear plan: follow-up appointments scheduled, prescriptions filled (if any), referrals made, and any home care instructions explained in writing.

Frequently Asked Questions

How long will my first appointment take?

Plan for 45–60 minutes for a new patient visit. Complex cases may take a bit longer.

Will I need X-rays at my first visit?

Not always. X-rays are ordered when they will provide information needed to diagnose or treat your condition. Your doctor will explain if and why they’re needed.

Can I bring a family member or caregiver?

Absolutely. You’re welcome to bring someone with you for support or to help remember information discussed during the visit.

What if I need surgery?

If surgery is being considered, your doctor will explain all options, risks, and expected outcomes. We never rush patients toward surgery. Many conditions can be successfully treated without it.

How quickly can I get an appointment?

We do our best to see new patients promptly. Urgent problems are always prioritized. Call (810) 206-1402 or book online to find the next available appointment.

What if I’m nervous about my foot problem?

That’s completely normal. Our team is compassionate and patient. We’ll take the time to explain everything clearly and answer every question you have. Many patients tell us they wish they had come in sooner.

Our Locations

We have two convenient locations:

• Howell Office: 4330 E Grand River, Howell, MI 48843
• Bloomfield Hills Office: 43494 Woodward Ave #208, Bloomfield Twp, MI 48302

Both offices offer free parking. If you have questions about directions or accessibility, please call us at (810) 206-1402.

Ready to Book Your Appointment?

Don’t let foot or ankle pain hold you back. Our experienced podiatrists are accepting new patients at both locations.

Book Your First Appointment Online or call us directly at (810) 206-1402.

We look forward to meeting you and getting you back on your feet.