Please use the following link to schedule your appointment date and time with SAMERA/FOOT+ANKLE. Office days and hours: 


Monday:   8:30 am - 5 pm  

Tuesday:   8:30 am - 5 pm 

Wednesday:  8:30 am - 5 pm

Thursday:  8:30 am - 5 pm  

Friday:  8:30 am - 5 pm  (Branford Office) 

We understand your unique situation, and we know you need to be seen on a schedule that works for you. 


To help streamline your office visit, we are happy to provide new patient forms on this page. Here, you can also schedule an appointment to see the doctor. 


Please download and complete the appropriate forms prior to your  

FOOTWEAR DISCOUNTS / PATIENT BENEFITS

SCHEDULE YOUR APPOINTMENT

As a patient of SAMERA/FOOT+ANKLE, you are entitled to receive benefits on high-quality podiatric footwear. Dr. Samera has formed close affiliations with Crocs and Vionic footwear to provide his patients with performance footwear designed to help alleviate their unique symptoms.  


CROCSRx Program 

As a patient with us, you can quickly and easily save 20 percent off any CrocsRX or Crocs-brand Work shoes. Simply enter the referral code on the Crocs website below to receive your discounted Crocs products: 


www.CrocsRX.com  [enter referral code: 50000237]


VionicShoes with Orthaheel Technology

Dr. Samera also is a registered affiliate physician with VionicShoes. VionicShoes is one of the leading global manufacturers of consumer and medical footwear. With Orthaheel technology, Vionic's line of consumer sandals, shoes and slippers features concealed podiatrist-designed technology. 

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Orthopedic Shoes 

​SAMERA/FOOT+ANKLE also provides a wide array of additional orthopedic, therapeutic  and diabetic footwear brands tailored to your unique needs. Brands include: 


  • Dr. Comfort 
  • Hush Puppies 
  • New Balance 
  • And more... ​​


CryoProbe - cryosurgical device 

Dr. Samera utilizes the innovative new CryoProbe™ - a cryosurgical device that treats benign skin lesions with pinpoint accuracy using disposable Nitrous Oxide cartridges. As the CryoProbe easily adapts to every lesion regardless shape or size, only abnormal tissue will be treated avoiding collateral damage to adjacent tissue - providing more comfort for the patient. 


SOLS - 3D printed orthotics 

Dr. Samera also can prescribe SOLS - the latest in 3D printed custom orthotics. SOLS inserts are created via 3D printing technology exclusively for the unique contours and dimensions of your feet. 

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NEW PATIENT FORMS AND INFOrmation 

NEW PATIENT FORMS: 

office visit, and feel free to use the link on this page to schedule your appointment. If you have any questions, please contact us directly any time. Thank you. 

Contact us: (386) 758-FOOT

While visiting our office, please be sure to ask about our Crocs Partner Program – and which orthopedic brand is the right fit for your podiatric needs. 

For office locations and addresses, please visit our Contact Us page. ​

  • New Patient Information Form
  • New Patient Medical History Form 
  • HIPAA/Privacy Form
  • Protected Health Information Form​


[Download the complete packet here.

Forms provided in PDF format. 

Click to download Adobe Acrobat Reader.]